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Functional voiding disorders of childhood
1Department of Surgery, University of Louisville School of Medicine, KY 40292.
Insights
Common childhood voiding problems, like incontinence and urinary tract infections, are often functional, stemming from poor habits. This review outlines common disorders and their treatments, emphasizing the link with stooling issues.
Area of Science:
- Pediatric Urology
- Childhood Functional Disorders
Background:
- Voiding problems are prevalent in children, manifesting as incontinence, urinary tract infections, frequency, and urgency.
- Most cases involve neurologically and anatomically normal urinary systems, indicating functional origins.
- These functional disorders arise from complex factors including decision-making and toilet habits.
Purpose of the Study:
- To catalog common childhood voiding disorders.
- To outline effective treatment strategies for these conditions.
- To highlight the interconnectedness of voiding and stooling dysfunctions.
Main Methods:
- Literature review of common pediatric voiding disorders.
- Synthesis of current understanding of functional voiding etiology.
- Compilation of established treatment approaches.
Main Results:
- Identified key functional voiding disorders in children.
- Detailed common symptoms and diagnostic challenges.
- Presented a range of therapeutic interventions.
Conclusions:
- Functional voiding disorders are common and complex in children.
- Recognition and management require understanding faulty habits and toileting.
- Addressing voiding dysfunction should consider concurrent stooling issues.
Abstract:
Voiding problems in children are common and lead to symptoms of incontinence, urinary tract infections, urinary frequency, and urgency. Most voiding disorders occur in children with relatively normal neurologic and urinary systems and are believed to be functional in nature. Functional voiding disorders have a complex etiology involving faulty decision making and toilet habits. These disorders present with various combinations of symptoms and may be difficult for the physician and the parents to recognize. A catalog of the most common voiding disorders and their treatment is outlined. The close relationship between voiding and stooling dysfunction and their treatment is also presented.