Pediatric urinary incontinence is a common condition characterised by the involuntary loss of urine in children beyond the age at which bladder control is typically achieved, usually around five years. Pediatric urinary incontinence affects 10% of children at age 7. It encompasses a range of presentations, including nocturnal enuresis (bedwetting) and daytime incontinence, and can be classified as either monosymptomatic or non-monosymptomatic. The aetiology is often multifactorial, involving functional, behavioural, anatomic, neurologic, and sometimes psychological components. A thorough evaluation, including medical history, physical examination, and basic investigations such as urinalysis and ultrasound, is essential to determine the underlying cause. Management strategies focus on education, behavioural interventions, lifestyle modifications, and, when necessary, pharmacologic therapy such as desmopressin or anticholinergic agents. Most children respond well to treatment. Non-pharmacological approaches like biofeedback and neuromodulation improve children's condition with a response rate between 40% and 90%. But resistance to pharmacological treatments persists. Limited evidence calls for further research in this field.
Author (s) Details
Rutuben Bhavsar
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, and Women’s
Health Physiotherapist, India.
Pooja Thakur
College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University,
Vadodara, Gujarat, India.
Please see the book here:- https://doi.org/10.9734/bpi/msraa/v5/5551
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