[Enuresis and pediatric urinary incontinence : Diagnostics and therapy]

Area of Science:

• Pediatric Urology
• Child Psychology
• Behavioral Medicine

Background:

• Pediatric micturition disorders encompass nocturnal enuresis and daytime urinary incontinence, often presenting with overlapping symptoms.
• Accurate differentiation is crucial for effective management of these distinct pathological entities.

Purpose of the Study:

• To detail diagnostic procedures for distinguishing between nocturnal enuresis and behavior-linked urinary incontinence in children.
• To present a comprehensive therapeutic approach for all pediatric micturition disorders.

Main Methods:

• Utilizing differentiated, non-invasive diagnostic procedures.
• Reviewing and discussing behavioral, medical, and biofeedback therapeutic methods.
• Adhering to the S2k guidelines from the Association of the Scientific Medical Societies in Germany (AWMF).

Main Results:

• Established diagnostic criteria allow for clear discrimination between nocturnal enuresis and daytime urinary incontinence.
• A multi-modal therapeutic strategy encompassing behavioral, medical, and biofeedback interventions is presented.

Conclusions:

• Effective management of pediatric micturition disorders relies on accurate diagnosis and tailored therapeutic interventions.
• The S2k guidelines provide a robust framework for diagnosing and treating enuresis and functional incontinence in children and adolescents.