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KMID : 1218220090010010011
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Korean Journal of Pediatric Urology
2009 Volume.1 No. 1 p.11 ~ p.20
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Non-neurogenic Voiding Dysfunction in Children
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Park Kwan-Hyun
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Abstract
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Pediatric non-neurogenic voiding dysfunction is a functional bladder and/or sphincter disorder in physically and neurologically normal child. The non-neurogenic voiding dysfunction is a common problem in children, which includes overactive bladder, daytime urinary frequency, nocturnal enuresis, dysfunctional voiding, Hinman’s syndrome, juvenile stress urinary incontinence, giggle incontinence, and postvoid dribbling. In this review, diagnostic and therapeutic approach for non-neurogenic voiding dysfunction is introduced. Diagnosis of pediatric non-neurogenic voiding dysfunction is usually based on history, physical examination, bladder diary, and laboratory tests including noninvasive urodynamic study. Imaging studies, invasive urodynamic study, and endoscopic examination may be selected in detailed assessments for non-neurogenic voiding dysfunction. Currently available therapeutic modalities for non-neurogenic voiding dysfunction are behavioral modification, pharmacotherapy, alarm therapy, urotherapy, and surgical therapy.
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KEYWORD
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Bladder dysfunction, Child, Diagnosis, Non-neurogenic, Treatment
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