Urinary incontinence resident survival guide (pediatrics): Difference between revisions

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{{SK}}[[Urinary incontinence]] in kids; [[bedwetting]]; [[enuresis]]; [[nocturnal enuresis]]; [[enuresis]] nocturna; monosymptomatic [[enuresis]] nocturnal (MEN); non-monosymtomatic [[enuresis]] nocturnal (non-MEN)  
{{SK}}[[Urinary incontinence]] in kids; [[bedwetting]]; [[enuresis]]; [[nocturnal enuresis]]; [[enuresis]] nocturna; monosymptomatic [[enuresis]] nocturnal (MEN); non-monosymtomatic [[enuresis]] nocturnal (non-MEN)  


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! style="padding: 0 5px; font-size: 85%; background: #A8A8A8" align=center| {{fontcolor|#2B3B44|Urinary incontinence resident survival guide (pediatrics) Microchapters}}
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#Overview|Overview]]
! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align="left" |[[Urinary incontinence resident survival guide (pediatrics)#Overview|Overview]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#Causes|Causes]]
! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align="left" |[[Urinary incontinence resident survival guide (pediatrics)#Causes|Causes]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#FIRE: Focused Initial Rapid Evaluation|FIRE]]
! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align="left" |[[Urinary incontinence resident survival guide (pediatrics)#FIRE: Focused Initial Rapid Evaluation|FIRE]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#Complete Diagnostic Approach|Diagnosis]]
! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align="left" |[[Urinary incontinence resident survival guide (pediatrics)#Complete Diagnostic Approach|Diagnosis]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#Treatment|Treatment]]
! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align="left" |[[Urinary incontinence resident survival guide (pediatrics)#Treatment|Treatment]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#Do's|Do's]]
! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align="left" |[[Urinary incontinence resident survival guide (pediatrics)#Do's|Do's]]
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! style="font-size: 80%; padding: 0 5px; background: #DCDCDC" align=left | [[Urinary incontinence resident survival guide (pediatrics)#Don'ts|Don'ts]]
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==Causes==
==Causes==
===Life Threatening Causes===
===Life Threatening Causes===
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated are not common. However, there are possible causes that could result in disability if left untreated and are considered red flags. These include:
Life-threatening [[causes]] include [[conditions]] that may result in death or permanent [[disability]] within 24 hours if left untreated are not common. However, there are possible [[causes]] that could result in [[disability]] if left untreated and are considered red flags. These include:
*Sexual abuse
 
*Neurological impairment especially of the lower extremities suggesting possible spinal dysraphisms
*Sexual [[abuse]]
*Diabetes mellitus
*[[Neurological]] [[impairment]] especially of the [[lower extremities]] suggesting possible spinal dysraphisms
*Diabetes insipidus
*[[Diabetes mellitus]]
*Urinary tract infection
*[[Diabetes insipidus]]
*[[Urinary tract infections|Urinary tract infection]]
 
These are considered to be of particular concern when encountered in practice.
These are considered to be of particular concern when encountered in practice.


===Common Causes===
===Common Causes===
These causes are based on the classification of urinary incontinence in children.
These [[causes]] are based on the [[classification]] of [[urinary incontinence]] in [[children]].
{| class="wikitable"
{| class="wikitable"
|+Classification of Urinary Incontinence in Children
|+Classification of Urinary Incontinence in Children
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**Discoordinated [[micturition]]
**Discoordinated [[micturition]]
**Infrequent voiding
**Infrequent voiding
*Organic causes are quite rare compared to the functional causes of urinary incontinence in children.<ref name="pmid21977217">{{cite journal| author=Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H| title=Urinary incontinence in children. | journal=Dtsch Arztebl Int | year= 2011 | volume= 108 | issue= 37 | pages= 613-20 | pmid=21977217 | doi=10.3238/arztebl.2011.0613 | pmc=3187617 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21977217  }} </ref>
*Organic [[causes]] are quite rare compared to the functional [[causes]] of [[urinary incontinence]] in [[children]].<ref name="pmid21977217">{{cite journal| author=Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H| title=Urinary incontinence in children. | journal=Dtsch Arztebl Int | year= 2011 | volume= 108 | issue= 37 | pages= 613-20 | pmid=21977217 | doi=10.3238/arztebl.2011.0613 | pmc=3187617 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21977217  }} </ref>


==FIRE: Focused Initial Rapid Evaluation==
==FIRE: Focused Initial Rapid Evaluation==
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==Do's==
==Do's==
* The content in this section is in bullet points.
 
*The content in this section is in bullet points.


==Don'ts==
==Don'ts==
* The content in this section is in bullet points.
 
*The content in this section is in bullet points.


==References==
==References==

Revision as of 18:50, 22 February 2021


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ifeoma Anaya, M.D.[2]

Synonyms and keywords:Urinary incontinence in kids; bedwetting; enuresis; nocturnal enuresis; enuresis nocturna; monosymptomatic enuresis nocturnal (MEN); non-monosymtomatic enuresis nocturnal (non-MEN)

Urinary incontinence resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated are not common. However, there are possible causes that could result in disability if left untreated and are considered red flags. These include:

These are considered to be of particular concern when encountered in practice.

Common Causes

These causes are based on the classification of urinary incontinence in children.

Classification of Urinary Incontinence in Children
Types of urinary incontinence Details
Physiological
  • It is expected and seen as a norm in the early years.
  • Requires a minimum age of 5 years, at least one event in a month, and a minimum period of 3 months.
  • Persisting beyond the age of 5 years is termed pathological.
  • However, there are the 'late developers' who continue to experience physiologic urinary incontinence beyond the age of 5 years.
  • Clinical evaluation of these kids remains normal.[1]
Pathological Organic:
  • Usually uncommon.
  • In-depth investigations needed to be identified more so in cases that have not responded to conventional treatment.[1]
Functional or psychosomatic:
Monosymtomatic enuresis(MEN):
Non-monosymptomatic enuresis Nocturna(Non-MEN):

FIRE: Focused Initial Rapid Evaluation

Complete Diagnostic Approach

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. ↑ 1.0 1.1 1.2 Schultz-Lampel D, Steuber C, Hoyer PF, Bachmann CJ, Marschall-Kehrel D, Bachmann H (2011). "Urinary incontinence in children". Dtsch Arztebl Int. 108 (37): 613–20. doi:10.3238/arztebl.2011.0613. PMC 3187617. PMID 21977217.
  2. ↑ Zhu W, Che Y, Wang Y, Jia Z, Wan T, Wen J; et al. (2019). "Study on neuropathological mechanisms of primary monosymptomatic nocturnal enuresis in children using cerebral resting-state functional magnetic resonance imaging". Sci Rep. 9 (1): 19141. doi:10.1038/s41598-019-55541-9. PMC 6915704 Check |pmc= value (help). PMID 31844104.
  3. ↑ Arda E, Cakiroglu B, Thomas DT (2016). "Primary Nocturnal Enuresis: A Review". Nephrourol Mon. 8 (4): e35809. doi:10.5812/numonthly.35809. PMC 5039962. PMID 27703953.
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