KMID : 0367420050480060575
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Journal of Korean Pediatric Society 2005 Volume.48 No. 6 p.575 ~ p.579
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Common Urinary Symptoms in Outpatient Clinic: Voiding Dysfunction in Children
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Kim Ki-Hyuk
Kim Young-Sig
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Abstract
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Urinary incontinence is the most common urinary symptom in children and causes considerable anxiety in children and parents. In most cases, there is no underlying organic pathology and the long- term prognosis is excellent. Despite these reassuring facts, children with wetting problems can be a challenge for primary pediatrician. This is probably because the problem is poorly understood, there is no readily identifiable medical pathology, and because treatment is usually time consuming and arduous. There is a great demand for treatment because wetting is an unpleasant symptom that can cause a stress and anxiety in the family. There may also be other coexisting problems such as urinary tract infection, constipation, soiling, and behavioral or emotional difficulties. Despite the frequency and vexing nature of voiding dysfunction, physicians may not always obtain a careful history to identify and to treat children properly with this condition. This article addresses the comprehensive diagnostic and therapeutic approach to such children.
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KEYWORD
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Voiding dysfunction, Incontinence
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