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Pollakiuria: extraordinary daytime urinary frequency a common problem in pediatric practice
1Department of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C.
Insights
Daytime urinary frequency in children is a common, benign condition that resolves on its own. This psychophysiological issue typically requires no invasive treatment, only reassurance.
Area of Science:
- Pediatric Urology
- Child Psychology
Background:
- Investigating the characteristics and outcomes of children experiencing acute, isolated daytime urinary frequency.
- Understanding the typical presentation and diagnostic approach for this common pediatric urological symptom.
Observation:
- Studied 48 children (ages 4-7.8 years) with normal noninvasive clinical evaluations.
- Symptoms persisted despite anticholinergic or antibiotic treatments.
- Urinary frequency resolved spontaneously in all cases within an average of 1.8 months.
Findings:
- Isolated daytime urinary frequency in children is a benign, self-limiting condition.
- No clear seasonal pattern or identifiable cause in most cases, though psychophysiological factors are suspected.
- Trigger factors were identified in less than half of the patients.
Implications:
- This condition requires no invasive investigations or treatments.
- Reassurance is the primary management strategy for healthcare providers and parents.
- Further research into psychophysiological triggers may elucidate underlying mechanisms.
Abstract:
Forty-eight children (28 males and 20 females) with acute onset of isolated daytime urinary frequency were retrospectively reviewed. Their age at the onset of symptom ranged from 4 to 7.8 years (median 6.3 years). Clinical evaluations by noninvasive means are completely normal in all patients. Treatment with anticholinergics or antibiotics did not relieve the symptom. In all patients, urinary frequency was resolved spontaneously after an average of 1.8 months from time of onset. There was no particular relationship between the season and the occurrence of the symptoms. Although the actual cause of pollakiuria is still not known, some kinds of psychophysiologic reaction has been implicated. In only 19 out of 48 patients, the possible trigger factor could be obtained. It should be emphasized that this clinical entity is a benign, self-limited situation that requires no invasive investigation or management other than reassurance.