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Published on: August 14, 2019
Voiding dysfunction in the child with problem "wetting"
Insights
Children
Area of Science:
- Pediatric Urology
- Developmental Pediatrics
Background:
- Persistent voiding dysfunction in children is often misattributed to psychological issues.
- Previous evaluations including urinalysis, intravenous pyelogram (IVP), and voiding cystourethrogram (VCU) were normal.
Observation:
- Thirty-one children with persistent wetting problems underwent re-examination.
- The focus was on identifying the underlying cause of their urologic disorder.
Findings:
- The study identified a physiologic basis for the children's urologic disorder, rather than a psychological one.
- This suggests that the "wetting" issues stem from physical factors.
Implications:
- Re-evaluation of children with persistent voiding dysfunction is crucial.
- Understanding the physiologic basis can lead to more effective treatment strategies, such as bladder training.
Abstract:
Children with problem "wetting" often are suspected of manifesting developmental or behavioral disorders. Thirty-one children who had previously been evaluated and found to have a normal urinalysis, IVP and VCU were reexamined because of persistent voiding dysfunctions. The subjects revealed a physiologic rather than a psychological basis for their urologic disorder. Various aspects of bladder training are discussed.
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