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Related Experiment Videos

Incontinence and enuresis.

G A McLorie1, D A Husmann

  • 1Division of Urology, Hospital for Sick Children, Toronto, Canada.

Pediatric Clinics of North America
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

Most childhood incontinence stems from nervous system immaturity or urinary tract inflammation. This guide helps select children needing urologic evaluation, avoiding unnecessary tests for others.

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Area of Science:

  • Pediatric Urology
  • Childhood Incontinence Etiology
  • Lower Urinary Tract Conditions

Background:

  • Incontinence in children often lacks a clear neurologic cause.
  • Potential etiologies include functional nervous system immaturity and lower urinary tract inflammation.
  • A systematic approach is needed to differentiate causes and guide evaluation.

Purpose of the Study:

  • To outline criteria for selective urologic evaluation in children with diurnal incontinence and enuresis.
  • To differentiate common causes of incontinence not related to neurologic impairment.
  • To reduce unnecessary diagnostic procedures for affected children.

Main Methods:

  • Review of clinical criteria for assessing childhood incontinence.
  • Focus on identifying functional immaturity and inflammatory conditions.

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  • Development of a selective approach to urologic evaluation.

    • Main Results:

    • Most non-neurologically impaired children's incontinence is due to functional immaturity or inflammation.
    • The proposed criteria allow for targeted urologic assessment.
    • This selective approach can prevent costly and stressful extensive evaluations.

    Conclusions:

    • Functional immaturity and lower urinary tract inflammation are key causes of childhood incontinence.
    • Selective urologic evaluation based on defined criteria is effective.
    • This strategy optimizes diagnostic pathways and patient experience.