title: [Psychogenic urinary retention in childhood. A severe case treated by an integrated global approach].
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.
authors.affiliation: Divisione di Pediatria, Ospedale Provinciale G. Fornarol, Azienda USSL n. 35, Magenta Milano.
authors.forename: M
authors.initials: M
authors.lastname: Bosio
authors.forename: S
authors.initials: S
authors.lastname: Mazzucchelli
authors.forename: S
authors.initials: S
authors.lastname: Sandri
mesh_terms: D002675:Child, Preschool; D004532:Ego; D004688:Encopresis / Q000150:complications / Q000523:psychology; D006801:Humans; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D011613:Psychotherapy; D011704:Pyelonephritis / Q000150:complications; D016055:Urinary Retention / Q000150:complications / Q000175:diagnosis / Q000523:psychology*
vernacular_title: La ritenzione urinaria psicogena nel bambino. Descrizione di un caso grave trattato con approccio multidisciplinare.