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[Enuresis and common bladder disorders in children]

P Cochat1

  • 1Unité de néphrologie pédiatrique, hôpital Edouard-Herriot, Lyon, France.

Pediatrie
|January 1, 1989
PubMed

Insights

Nocturnal enuresis (bedwetting) affects 5-10% of children, with treatments yielding a 70% success rate. Bladder instability in children requires urodynamic assessment and reeducation for effective management.

Area of Science:

  • Pediatric Urology
  • Childhood Continence Disorders

Context:

  • Enuresis impacts 5-10% of primary-school-aged children.
  • Nocturnal enuresis (bedwetting) is common, often familial, and primarily affects boys.
  • Daytime micturition is typically normal in nocturnal enuresis cases, without associated urinary tract infections.

Purpose:

  • To outline the characteristics and treatment approaches for nocturnal enuresis and bladder instability in children.
  • To highlight the importance of urodynamic assessment for daytime enuresis, especially with dysuria.
  • To present effective management strategies for childhood continence issues.

Summary:

  • Nocturnal enuresis management includes hygienic rules, desmopressin, tricyclic antidepressants, alarm procedures, or psychotherapy, achieving a 70% success rate within a year.
  • Bladder instability presents with diurnal and nocturnal disturbances, common in girls with recurrent urinary tract infections, leading to pollakiuria, urine loss, and voiding emergencies.
  • Treatment for uncomplicated bladder instability involves reeducation techniques like biofeedback and/or anticholinergic medication such as oxybutynin hydrochloride.

Impact:

  • Provides a comprehensive overview of childhood enuresis and bladder instability, aiding clinicians in diagnosis and treatment selection.
  • Emphasizes the role of urodynamics in managing complex daytime enuresis cases.
  • Offers evidence-based treatment options, including behavioral therapies and pharmacotherapy, to improve outcomes for affected children.

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