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Extraordinary daytime urinary frequency in children
H A Cohen1, M Nussinovitch, A Kauschansky
1Community Children's Clinic, Petah Tiqwah, Israel.
Insights
Sudden daytime urinary frequency in children often has a trigger and is usually benign. Reassurance for parents and child is typically the only necessary intervention, avoiding extensive urological evaluation.
Area of Science:
- Pediatrics
- Urology
Background:
- Sudden daytime urinary frequency in toilet-trained children can be distressing.
- Potential contributing factors include psychosocial issues, school, or family problems.
Purpose of the Study:
- To evaluate children experiencing sudden onset of isolated daytime urinary frequency.
- To identify potential causes and appropriate management strategies.
Main Methods:
- Study included 15 children with sudden isolated daytime urinary frequency.
- Evaluations involved medical/family history (focusing on psychosocial factors), physical examination, urinalysis, and kidney/bladder ultrasonography.
- Follow-up period ranged from 12 to 18 months.
Main Results:
- All patients had normal urinalysis and ultrasonography findings.
- A specific trigger factor was identified for urinary frequency in every case.
- The condition was generally self-limited.
Conclusions:
- Extensive urological evaluation is generally not indicated for this condition.
- Reassurance for parents and the child is often the primary and sufficient intervention.
- Sudden daytime urinary frequency in children is typically a benign, self-resolving issue.
Background:
Sudden onset of daytime urinary frequency of a small amount of urine in a previously toilet-trained child can be a disturbing problem. Psychosocial problems, problems at school, or problems within the family have to be taken into consideration.
Methods:
Fifteen children with sudden onset of isolated daytime urinary frequency were evaluated and followed for a period of 12 to 18 months. A thorough medical and family history was obtained for each child, with special attention given to any psychosocial problems the child had experienced. All the children underwent a physical examination, complete urinalysis, and ultrasonography of the kidneys and bladder.
Results:
In all of the patients, the urinalysis and ultrasonographic findings were within normal limits. A trigger factor was identified as the cause of urinary frequency in each case.
Conclusions:
Because urinary frequency is usually a benign self-limited condition, an extensive urological evaluation is not indicated. In most cases, providing reassurance to the parents and the child is the only intervention necessary.