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Related Experiment Videos

Day wetting.

S R Meadow1

  • 1Department of Paediatrics and Child Health, St. James's University Hospital, Leeds, UK.

Pediatric Nephrology (Berlin, Germany)
|March 1, 1990
PubMed
Summary
This summary is machine-generated.

Daytime wetting in children over five is often linked to unstable bladders and urinary tract infections, particularly in girls. Management focuses on behavioral therapies and complete bladder emptying, with drugs showing limited efficacy.

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Area of Science:

  • Pediatric Urology
  • Child Psychology

Background:

  • Daytime wetting affects approximately 1% of healthy children over age 5.
  • Urge incontinence is the primary cause, more prevalent in girls, and often associated with bacteriuria.
  • A link exists between daytime wetting, infection, and potential upper tract damage.

Purpose of the Study:

  • To explore the causes and associations of daytime wetting in children.
  • To evaluate the effectiveness of various management strategies.
  • To understand the relationship between daytime wetting, infection, and renal health.

Main Methods:

  • Literature review and analysis of clinical observations.
  • Assessment of associations between daytime wetting, bacteriuria, and bladder instability.
  • Evaluation of treatment outcomes for behavioral therapies versus pharmacological interventions.

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Main Results:

  • Most children with daytime wetting exhibit unstable bladders and may adopt 'holding' postures.
  • Bacteriuria is common (50% prevalence) in girls with daytime wetting.
  • 10-15% of children achieve dryness within a year, accelerated by bacteriuria eradication and behavioral management.

Conclusions:

  • Daytime wetting management should prioritize behavioral approaches, encouraging frequent and complete voiding.
  • Eradication of bacteriuria and supportive management significantly improve outcomes.
  • Complex behavioral training and biofeedback are beneficial for severe cases; drug efficacy is not well-supported.