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[Psychogenic urinary retention in childhood. A severe case treated by an integrated global approach]
M Bosio1, S Mazzucchelli, S Sandri
1Divisione di Pediatria, Ospedale Provinciale G. Fornarol, Azienda USSL n. 35, Magenta Milano.
Insights
Psychogenic urinary retention and enuresis in children can lead to severe kidney issues if not recognized early. This case highlights successful treatment through a multidisciplinary approach for a young boy with these conditions.
Area of Science:
- Pediatric Urology
- Child Psychology
- Nephrology
Background:
- Micturating dysfunctions, including urinary retention and enuresis, can originate from psychogenic factors in children.
- Delayed diagnosis of these conditions can result in elevated urinary tract pressure and infections, potentially leading to end-stage renal disease.
- Psychogenic voiding dysfunction is a critical area in pediatric healthcare requiring timely intervention.
Abstract:
Micturating dysfunctions with urinary retention and with diurnal and nocturnal enuresis in children sometimes have a psychogenic genesis. They can appear during the period of development of complete control of micturition. A late recognition of this condition makes the prognosis worse, since high pressure and infections in the urinary tract can cause end-stage renal failure. Here we describe a dramatic case of a 3 year-old boy affected by a psychogenic urine and faecal retention with recurrent pyelonephritis, that was favourably treated for five years by an integrated approach involving clinicians, psychologist, educational and social operators and adoptive parents.