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Comments on pediatric elimination dysfunctions: the Whorf hypothesis, the elimination interview, the guarding reflex
1Department of Surgery, University of Michigan, Ann Arbor 48109-0330, USA.
Aims Of Study:
This paper addresses pediatric elimination disorders including nocturnal enuresis from the perspectives of terminology (the Whorf hypothesis), the elimination interview, and the guarding reflex.
Methods:
The elimination interview and a modern model of normal voiding function, including the guarding reflex, are explained.
Results:
The language of voiding dysfunction influences our perception of it. Nocturnal enuresis, and all other voiding dysfunctions, should be evaluated by a careful elimination interview. The guarding reflex may fit into an evolving etiologic paradigm for nocturnal enuresis.
Conclusions:
(1) Words and phrases of eliminology should aim for simplicity, clarity and accuracy. (2) Urologists need to perfect their eliminology skills vis-à-vis the elimination interview. (3) The role of the guarding reflex in nocturnal enuresis and all other voiding dysfunctions should be critically examined.