[Severe bladder dysfunction in the child abuse victim. Hinman syndrome].
Severe bladder dysfunction with possible consequence on the upper urinary tract caused by psychological trauma were recently identified. Hinman in 1973 was the first to report a series of 14 patients with severe abnormal bladder and bowels behaviour with organic cause. He described the most common symptoms met in this group of patients and their management using a non surgical approach based on bladder reeducation and hypnosis. Other authors such as Allen in 1977 reported a similar experience and found severe detrusor-sphincter dyssynergia. In 1995, Ellsworth reported a relation between these abnormal bladder behaviour and a medical history of sexual aggression. We report here in a series of 7 patients with Hinman syndrome associated with aggression. Diagnosis and management by a multidisciplinary team involving paediatricians, paediatric urologists, physiotherapists, paediatric psychologists are detailed [corrected].
Garignon
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Service de chirurgie Pédiatrique, Hôpital Debrousse, 29 rue Soeur Bouvier, F69322 Lyon.
Mure
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Paparel
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Chiche
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Mouriquand
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D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000331:legislation & jurisprudence; D002650:Child Abuse, Sexual / Q000175:diagnosis / Q000331:legislation & jurisprudence; D002655:Child Custody / Q000331:legislation & jurisprudence; D003937:Diagnosis, Differential; D004688:Encopresis / Q000175:diagnosis / Q000209:etiology; D004775:Enuresis / Q000175:diagnosis / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010348:Patient Care Team; D013577:Syndrome; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology*; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000209:etiology