I. Kreft Hausmeister
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Slovenija

A. Praprotnik Novak
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Slovenija

A. Blejc Novak
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Slovenija

J. Vande Walle
Enota za pediatrično nefrologijo, Univerzitetna bolnišnica Ghent, Belgija

A. Meglič
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Ljubljana, Slovenija

Abstract

A significant number of children with nocturnal enuresis also experience daytime urinary incontinence. They suffer from issues related to bladder emptying, voiding postponement, urgency, and frequency. In these children with non-monosymptomatic nocturnal enuresis, the standard treatment is not successful and further diagnosis of comorbid disordersis necessary. Bladder function should be assessed and a psychological examination undertaken. In many children, dysfunctional voiding has a physiological cause, but at the same time, a significant number of them have comorbid psychological difficulties. Particularly in these children, a multidisciplinary approach with a psychologist as part of the team is essential.

Key words: voiding, children, non-monosymptomatic enuresis, dysfunctional voiding, psychological comorbidities.