Lower urinary tract dysfunction in children

Czech version

Authors: MUDr. Zdeněk Dítě
Authors‘ workplace: Subkatedra dětské urologie IPVZ, Praha ; Urologická klinika 1. LF UK a VFN, Praha
Published in: Urol List 2007; 5(1): 42-45

Overview

Lower urinary tract dysfunction represents common problem affecting children of all age groups. Majority of problems is reflectoric in origin and brings only voiding difficulties together with the urinary tract infection. Neurogenic dysfunctions on the other side are serious and represent risk of the upper urinary tract deterioration, problems with incontinence, urinary tract infections and psychosocial complications. The first step in therapy represents in all afflicted children correction of drinking and voiding patterns together with improving of voiding habits followed by pharmacological treatment and autocatheterisation eventually. Surgical treatment is reserved for patients with complicated form of dysfunction, persistent incontinence and impairment of the upper urinary tract. Majority of ill children can be cured during the infancy.

Key words:
lower urinary tract dysfunction, urinary tract infection, autocatheterisation

Sources

1. Hellström AL. Urotherapy in children with dysfunctional bladder. Scand J Urol Nephrol 1999; 33: 49-52.

2. Bankhead RW. Evaluation and treatment of children with neurogenic bladders. J Child Neurol 2000; 15(3): 141-149.

3. Bauer SB. Pediatric Neurourology. In: Krane RJ, Siroky MB (eds). Clinical Neurourology. Boston: Little, Brown 1979: 275-294.

4. Hanuš T. Diagnostika a terapie dysfunkcí dolních močových cest. Praha: ILF 1997.

5. Dítě Z. Poruchy močení z funkčních a anatomických příčin u dětí. Urolog pro praxi 2004; 5(3): 112-115.

6. Hjalmas K. Functional daytime incontinence: definitions and epidemiology. Scand J Urol Nephrol 1992; 141(suppl): 39-46.

7. Hinman F. Non-neurogenic bladder (Hinman´s syndrome) fifteen years later. J Urol 1986; 136: 769-773.

8. The Standardisation of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report from the Standardisation Committee of the International Children´s Continence Society (ICCS) 2005.

9. Hellerstein S, Linebarger JS. Voiding dysfunction in pediatric patients. Clin Pediatra 2003; 42: 43-49.

10. Giramonti KM, Kogan BA, Agboola OO et al. The association of constipation with childhood urinary tract infection. J Ped Urol 2005; 1: 273-278.