Primer: diagnosis and management of uncomplicated daytime wetting in children.
Functional daytime wetting is a common source of pediatric urologic complaints. Evaluation typically begins in the office setting. In contrast to the adult population, where an inability to maintain voiding control is virtually always considered pathologic, the evaluation of urinary incontinence in children must occur within the context of the child's developmental age. Functional incontinence refers to cases of urinary incontinence in which no structural or neurologic abnormality can be identified. The underlying etiologic mechanisms are heterogeneous, and include disorders of both the storage and voiding phases of the bladder cycle. Optimal treatment of functional daytime wetting depends on an accurate determination of the underlying etiology. Therapeutic options include behavior modification, medication, and aggressive treatment of comorbid conditions such as urinary infection and constipation.
Vemulakonda
Vijaya M
VM
University of Washington, Seattle, WA, USA.
Jones
Eric A
EA
D002648:Child; D019468:Disease Management; D053207:Diurnal Enuresis / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D014554:Urination / Q000502:physiology