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Voiding Disorders in Pediatrician’s Practice

Voiding disorders result usually from functional disturbance. However, relevant organic diseases must be excluded prior to diagnosis of functional disorders. Additional tests, such as urinalysis or abdominal ultrasound are required. Further diagnostics is necessary in the presence of alarm symptoms,...

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Autores principales: Rakowska-Silska, Magda, Jobs, Katarzyna, Paturej, Aleksandra, Kalicki, Bolesław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705800/
https://www.ncbi.nlm.nih.gov/pubmed/33293883
http://dx.doi.org/10.1177/1179556520975035
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author Rakowska-Silska, Magda
Jobs, Katarzyna
Paturej, Aleksandra
Kalicki, Bolesław
author_facet Rakowska-Silska, Magda
Jobs, Katarzyna
Paturej, Aleksandra
Kalicki, Bolesław
author_sort Rakowska-Silska, Magda
collection PubMed
description Voiding disorders result usually from functional disturbance. However, relevant organic diseases must be excluded prior to diagnosis of functional disorders. Additional tests, such as urinalysis or abdominal ultrasound are required. Further diagnostics is necessary in the presence of alarm symptoms, such as secondary nocturnal enuresis, weak or intermittent urine flow, systemic symptoms, glucosuria, proteinuria, leukocyturia, erythrocyturia, skin lesions in the lumbar region, altered sensations in the perineum. Functional micturition disorders were thoroughly described in 2006, and revised in 2015 by ICCS (International Children’s Continence Society) and are divided into storage symptoms (increased and decreased voiding frequency, incontinence, urgency, nocturia), voiding symptoms hesitancy, straining, weak stream, intermittency, dysuria), and symptoms that cannot be assigned to any of the above groups (voiding postponement, holding maneuvers, feeling of incomplete emptying, urinary retention, post micturition dribble, spraying of the urinary stream). Functional voiding disorders are frequently associated with constipation. Bladder and bowel dysfunction (BBD) is diagnosed when lower urinary tract symptoms are accompanied by problems with defecation. Monosymptomatic enuresis is the most common voiding disorder encountered by pediatricians. It is diagnosed in children older than 5 years without any other lower urinary tract symptoms. Other types of voiding disorders such as: non-monosymptomatic enuresis, overactive and underactive bladder, voiding postponement, bladder outlet obstruction, stress or giggle incontinence, urethrovaginal reflux usually require specialized diagnostics and therapy. Treatment of all types of functional voiding disorders is based on non-pharmacological recommendations (urotherapy), and such education should be implemented by primary care pediatricians.
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spelling pubmed-77058002020-12-07 Voiding Disorders in Pediatrician’s Practice Rakowska-Silska, Magda Jobs, Katarzyna Paturej, Aleksandra Kalicki, Bolesław Clin Med Insights Pediatr Review Voiding disorders result usually from functional disturbance. However, relevant organic diseases must be excluded prior to diagnosis of functional disorders. Additional tests, such as urinalysis or abdominal ultrasound are required. Further diagnostics is necessary in the presence of alarm symptoms, such as secondary nocturnal enuresis, weak or intermittent urine flow, systemic symptoms, glucosuria, proteinuria, leukocyturia, erythrocyturia, skin lesions in the lumbar region, altered sensations in the perineum. Functional micturition disorders were thoroughly described in 2006, and revised in 2015 by ICCS (International Children’s Continence Society) and are divided into storage symptoms (increased and decreased voiding frequency, incontinence, urgency, nocturia), voiding symptoms hesitancy, straining, weak stream, intermittency, dysuria), and symptoms that cannot be assigned to any of the above groups (voiding postponement, holding maneuvers, feeling of incomplete emptying, urinary retention, post micturition dribble, spraying of the urinary stream). Functional voiding disorders are frequently associated with constipation. Bladder and bowel dysfunction (BBD) is diagnosed when lower urinary tract symptoms are accompanied by problems with defecation. Monosymptomatic enuresis is the most common voiding disorder encountered by pediatricians. It is diagnosed in children older than 5 years without any other lower urinary tract symptoms. Other types of voiding disorders such as: non-monosymptomatic enuresis, overactive and underactive bladder, voiding postponement, bladder outlet obstruction, stress or giggle incontinence, urethrovaginal reflux usually require specialized diagnostics and therapy. Treatment of all types of functional voiding disorders is based on non-pharmacological recommendations (urotherapy), and such education should be implemented by primary care pediatricians. SAGE Publications 2020-11-27 /pmc/articles/PMC7705800/ /pubmed/33293883 http://dx.doi.org/10.1177/1179556520975035 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review
Rakowska-Silska, Magda
Jobs, Katarzyna
Paturej, Aleksandra
Kalicki, Bolesław
Voiding Disorders in Pediatrician’s Practice
title Voiding Disorders in Pediatrician’s Practice
title_full Voiding Disorders in Pediatrician’s Practice
title_fullStr Voiding Disorders in Pediatrician’s Practice
title_full_unstemmed Voiding Disorders in Pediatrician’s Practice
title_short Voiding Disorders in Pediatrician’s Practice
title_sort voiding disorders in pediatrician’s practice
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705800/
https://www.ncbi.nlm.nih.gov/pubmed/33293883
http://dx.doi.org/10.1177/1179556520975035
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