Developments Regarding Dysfunctional Voiding and Urinary Tract Infections in Children

Abstract

Additional information is available at the end of the chapter . IntroductionUrinary tract infection UTI is the most commonly diagnosed bacterial infections of childhood, and have a significant healthcare impact. Renal parenchymal infection and scarring are well-established complications of UTI in children and can lead to renal insufficiency, hypertension and renal failure. "lthough frequently encountered and well researched, diagnosis and management of UTI continue to be a controversial issue with many challenges for the clinician [ ].Dysfunctional voiding DV imposes a considerable social, developmental and physical burden on children and their families. Children that suffer from DV generally present with complaints of UTI, incontinence, constipation and voiding symptoms such as urinary urgency and frequency. Vesicoureteral reflux VUR may also be present in some children with more severe DV, possibly resulting in hydronephrosis, pyelonephritis and even secondary chronic renal insufficiency [ ].The true estimate of DV in the general population is not known. Reported population estimates of DV are based on questionable methodology. " wide variation from . -. % has been reported depending on the definition used and the methodology adopted [ , ]. It is probable that these figures represent a gross overestimate of the actual prevalence. In tertiary care centres, DV constitutes up to % of referrals in the Paediatric Urology department [ , ]. This chapter will focus on the epidemiology, diagnosis and management of DV and UTI in neurologically and anatomically normal children. The discussion will highlight recent developments and research in the clinical approach of DV and UTI.

Two Sessions of Behavioral Urotherapy for Bowel And Bladder Dysfunction: Does It Get Any Better?

“…Possible scores range from 0 to 30, with higher scores indicating more severe symptoms, while lower scores indicate milder and/or lower frequency of symptoms. The cut-off score for diagnosis of dysfunctional voiding is 6 for girls and 9 for boys (Kibar & Gok, 2013).…”