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Daytime Lower Urinary Tract Conditions

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Clinical Urodynamics in Childhood and Adolescence

Part of the book series: Urodynamics, Neurourology and Pelvic Floor Dysfunctions ((UNPFD))

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Abstract

Daytime lower urinary tract (LUT) dysfunction is the term used in the International Children’s Continence Society (ICCS) report on the standardization of terminology of LUT function in children and adolescents. Pathology like neurogenic bladder or upper and lower urinary tract uropathy should be excluded. Since there is a close relationship with bowel emptying problems in these children, the term bladder and bowel dysfunction (BBD) is used to cover both daytime LUT dysfunction and bowel dysfunction.

Diagnostic evaluation includes meticulous assessment of medical history taking from both the child and the parents making use of bladder and bowel diaries and standardized questionnaires. Clinical examination, urinalysis, uroflowmetry, and ultrasonography are usually sufficient to diagnose the condition. Incidentally, a (video) urodynamic investigation, a cystoscopy, or MRI could be necessary.

Daytime LUT conditions can be divided into storage dysfunction and voiding dysfunction. Storage dysfunction includes overactive bladder and underactive bladder eventually with voiding postponement. Voiding dysfunction consists of dysfunctional voiding, bladder outlet obstruction, and other conditions like vaginal reflux, giggling incontinence, and bladder neck dysfunction. Other LUT conditions include valve-bladder syndrome and severe BBD, historically called Hinman syndrome or nonneurogenic neurogenic bladder. Some conditions may involve over time, but for several conditions, early recognition, long-term follow-up, and management are important to ensure good voiding behavior.

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Authors and Affiliations

  1. Department of Urology, UZ Leuven, Gasthuisberg, Leuven, Belgium

    Marleen van den Heijkant F.E.B.U., F.E.A.P.U.

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  1. Marleen van den Heijkant F.E.B.U., F.E.A.P.U.
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Correspondence to Marleen van den Heijkant F.E.B.U., F.E.A.P.U. .

Editor information

Editors and Affiliations

  1. Pediatric NeuroUrology Research and Clinic, Bambino Gesù Pediatric Hospital, Rome, Italy

    Giovanni Mosiello

  2. Neurourology Department, Careggi Hospital, Florence, Italy

    Giulio Del Popolo

  3. Pediatric Urodynamic Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

    Jian Guo Wen

  4. Urology Unit, Bambino Gesù Pediatric Hospital, Rome, Italy

    Mario De Gennaro

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van den Heijkant, M. (2018). Daytime Lower Urinary Tract Conditions. In: Mosiello, G., Del Popolo, G., Wen, J., De Gennaro, M. (eds) Clinical Urodynamics in Childhood and Adolescence. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-319-42193-3_20

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  • DOI: https://doi.org/10.1007/978-3-319-42193-3_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42191-9

  • Online ISBN: 978-3-319-42193-3

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