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The management of childhood urinary incontinence

Michal Maternik1, Katarzyna Krzeminska, Aleksandra Zurowska

  • 1Department of Pediatrics, Nephrology, Hypertension, Medical University of Gdansk, Gdansk, Poland, mmaternik@gumed.edu.pl.

Pediatric Nephrology (Berlin, Germany)
|March 12, 2014
PubMed

Insights

The International Children's Continence Society (ICCS) provides guidelines for managing childhood incontinence, emphasizing urotherapy alongside medication. This review highlights diagnostic and therapeutic strategies for lower urinary tract symptoms in children.

Area of Science:

  • Pediatrics
  • Urology
  • Child Health

Background:

  • Childhood incontinence, including enuresis and dysfunctional voiding, is a common issue.
  • Standardized terminology and management are crucial for effective care.
  • The International Children's Continence Society (ICCS) has developed guidelines for these conditions.

Purpose of the Study:

  • To review and summarize ICCS guidelines on childhood incontinence.
  • To discuss contemporary diagnostic and therapeutic strategies for lower urinary tract symptoms in children.
  • To emphasize the importance of urotherapy and pharmacotherapy in management.

Main Methods:

  • Review of published ICCS guidelines.
  • Analysis of recent scientific literature on childhood incontinence management.
  • Focus on medical history, bladder diaries, and uroflowmetry.

Main Results:

  • Urotherapy is a cornerstone of treatment for childhood incontinence.
  • Pharmacological treatment plays a supportive role when indicated.
  • A focused diagnostic approach is essential for effective management.

Conclusions:

  • ICCS guidelines offer a standardized approach to childhood incontinence.
  • Integrated management involving urotherapy and pharmacotherapy is recommended.
  • Childhood incontinence remains an underestimated health concern requiring greater attention.

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