[Urethrovaginal reflux as a cause of urinary incontinence in girls].
Examination of an 11-year-old girl with unintentional urine loss revealed that during micturition, urine was flowing into the vagina. Physiotherapy, aimed at normalization of micturition, was successful. Urinary incontinence is a common problem in school-age children. It can have a lot of different causes, but an anatomical cause is rarely found in isolated daytime incontinence. Often, urethrovaginal reflux is the cause of this urinary incontinence in girls. Good history taking and a specific bladder diary are enough to obtain the diagnosis, radiological investigations are not necessary. The problem is easily resolved by proper instruction on voiding by a qualified physiotherapist.
Medisch Centrum Leeuwarden, Afd. Kindergeneeskunde, Postbus 888, 8901 BR Leeuwarden.
D W
DW
Wolthuis
T W
TW
de Vries
D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D014515:Ureteral Diseases / Q000150:complications* / Q000175:diagnosis; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology*; D014554:Urination / Q000502:physiology; D014623:Vaginal Diseases / Q000150:complications* / Q000175:diagnosis