Article short contents


Slovenska pediatrija 2016; 23: 270-280


Review article

DAYTIME VOIDING DISORDERS IN CHILDREN

E. Koželj
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Slovenija

S. Malok
Klinični oddelek za nefrologijo, Pediatrična klinika, Univerzitetni Klinični center Ljubljana, Slovenija

N. Marčun Varda
Klinika za pediatrijo, Univerzitetni klinični center Maribor, Maribor, Slovenija

R. Kordič
Klinični oddelek za urologijo, Kirurška klinika, Univerzitetni Klinični center Ljubljana, Slovenija

D. Ključevšek
Služba za radiologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, 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

Voiding disorders are frequently encountered in children older than 5 years of age and have numerous causes. They usually manifest in daytime and/or night-time wetting, which is an annoying problem for children and their parents. Functional urinary incontinence (i.e., dysfunctional voiding), which occurs in children without any known anatomical or neurological lesions, is much more common than organic urinary incontinence. The extent of investigations should be tailored individually according to the child‘s history and clinical findings, and should be as minimally invasive as possible. A multidisciplinary approach is needed for appropriate management. Education, scheduled voiding and positive feedback can be used in functional voiding disorders, usually in combination with pharmacological treatment and a psychotherapeutic approach. Some anatomical lesions require surgical treatment.

Key words: voiding disorders, children, urinary incontinence.


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