Abstract
Bladder dysfunction is a broad term used to describe different dysfunctional conditions of the bladder-sphincter complex, due to nonneurogenic and neurogenic causes. The International Children’s Continence Society (ICCS) provided guidelines on bladder dysfunctions which are better defined with the term lower urinary tract dysfunctions (LUTD) [3–6, 16, 17]. The ICCS classified two main groups of nonneurogenic conditions: nighttime (enuresis) and daytime (overactive bladder – OAB, dysfunctional voiding – DV, underactive bladder – UB, bladder and bowel dysfunction – BBD) conditions. They are more common problems in children and adolescents, leading to urinary incontinence (UI); LUTD seriously affect quality of life. Neurogenic bladder (NB) is the term applied to LUTD due to congenital or acquired neurological lesions. Depending on the site of neurological insult, urodynamic studies show pattern of detrusor overactivity or underactivity with or without sphincter dyssynergia. Due to pathophysiological reasons, urinary tract infection (UTI) and vesicoureteral reflux (VUR) are strong comorbid conditions in both nonneurogenic and neurogenic LUTD. This chapter focuses on definition, pathophysiology, and assessment of both nonneurogenic and neurogenic LUTD.
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Bibliography
Abidari JM, Shortliffe LM. Urinary incontinence in girls. Urol Clin North Am. 2002;29:661–75.
Abrams P, Cardozo L, Khoury S, Wein A. Incontinence. ICUD-EAU eds. 2013. Published by SMART-DOT, marketing & web consultants. Mtayleb - Lebanon
Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the Standardization Committee of the International Children’s Continence Society. Neurourol Urodyn. 2015;9999:1–11.
Bauer S, Austin F, Rawashdeh YF, et al. International Children’s Continence Society’s Recommendations for initial diagnostic evaluation and follow-up in congenital neuropathic bladder and bowel dysfunction in children. Neurourol Urodyn. 2012;31:610–4.
Bauer S, Nijman RJM, Drzewiecki BA, et al. International Children’s Continence Society standardization report on urodynamic studies of the lower urinary tract in children. Neurourol Urodyn. 2015;34:640–7.
Chang SJ, Van Laecke E, Bauer S, et al. Treatment of daytime urinary incontinence: a standardization document from the International Children’s Continence Society. Neurourol Urodyn. 2015. doi:10.1002/nau.22911.
Chase JW, et al. Functional constipation in children. J Urol. 2004;171:2641–3.
Cooper CS, et al. Do public school teach voiding dysfunction? Results of an elementary school teacher survey. J Urol. 2003;170:956–8.
De Gennaro M, Niero M, Capitanucci ML, et al. Validity of the international consultation on incontinence questionnaire-pediatric lower urinary tract symptoms: a screening questionnaire for children. J Urol. 2010;194:1662–7.
Ellsworth PI, Merguerian PA, Copening ME. Sexual abuse: another causative factor in dysfunctionl voiding. J Urol. 1995;153:773–6.
Griffiths DJ, Scholtmeijer RJ. Place of the free flow curve in the urodynamic investigation of children. Br J Urol. 1984;56:474–7.
Heaton KW, Radvan J, Cripps H, et al. Defecation frequency and timing and stool form in the general population: a prospective study. Gut. 1992;33:818–24.
Hoebeke P, Bower W, Combs A, De Jong T, Yang S. Diagnostic evaluation of children with daytime incontinence. J Urol. 2010;183:699–703.
Hoebeke P, et al. Anomalies of the external urethral meatus in girls with non-neurogenic bldder-sphincter dysfunction. BJU Int. 1999;83:294–8.
Mori R, Yonemoto N, Fitzgerald A, et al. Diagnostic performance of urine dipstick testing in children with suspected UTI: a systematic review of relationship with age and comparison with microscopy. Acta Paediatr. 2010;99(4):581–4.
Neveus T, von Gontard A, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardization Committee of the International Children’s Continence Society. J Urol. 2006;176:314–24.
Rawashdeh YF, Austin P, Siggaard C, et al. International Children’s Continence Society’s recommendations for therapeutic intervention in congenital neuropathic bladder and bowel dysfunction in children. Neurourol Urodyn. 2012;31:615–20.
Sreedar B, Yeung CK, Leung VYF, Chu CW. Ultrasound bladder measurements in children with severe primary nocturnal enuresis: pretreatment and posttreatment evaluation and its correlation with treatment outcome. J Urol. 2008;179:1568–72.
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De Gennaro, M., Capitanucci, M.L., Mosiello, G. (2017). Nephrourology: Focus On Child with Bladder Dysfunctions and Urodynamics. In: Garganese, M., D'Errico, G. (eds) Conventional Nuclear Medicine in Pediatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-43181-9_9
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DOI: https://doi.org/10.1007/978-3-319-43181-9_9
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