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Management of daytime urinary incontinence and lower urinary tract symptoms in children

Authors


  • The primary author has been supported by the National Human and Medical Research Council's research scholarship.

Dr Aniruddh V Deshpande, Centre for Kidney Research, Children's Hospital at Westmead, Locked Bag 4001, Corner Hainsworth Street and Hawkesbury Road, Westmead, NSW 2145, Australia. Fax: +61298453180; email: sushrudh@hotmail.com

Abstract

Lower urinary tract symptoms, particularly urgency, frequency and incontinence are common in school-aged children but are often overlooked. They may cause considerable physical, social and psychological difficulties to children and their families, and usually are manifestations of underlying non-neurogenic voiding disorders. The differential diagnoses include overactive bladder syndrome, dysfunctional voiding and vaginal reflux as well as less common conditions like giggle incontinence, voiding postponement, pollakiuria and diabetes insipidus. In this paper, we discuss an evidence-based approach to the management of conditions causing daytime urinary incontinence and lower urinary tract symptoms in children from a general paediatrician's perspective.

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