Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1992-7-22
pubmed:abstractText
The definition of childhood urinary incontinence, used here, is leakage of at least 1 ml of urine, at least once a week, in a child from 5 years of age. The types of incontinence are defined as detrusor incontinence (daytime urge incontinence and night-time enuresis), sphincter incontinence (presenting clinically as stress incontinence in the less serious form, as continuous dribbling of urine in the more serious one), and combined incontinence (the combination of detrusor hyperactivity and sphincter incompetence found in many children with neurogenic bladder dysfunction). Urinary incontinence in children is subdivided into night-time (most common) and daytime incontinence. Day wetting is aetiologically subdivided into incontinence due to organic or functional causes. The organic causes can be either structural (e.g. epispadias) or neurogenic. Functional day wetting is incontinence not caused by disease, injury or congenital malformation, and is almost always urge incontinence due to an unstable bladder. Unstable bladder in children may activate the sphincteric guarding reflex, leading to dyscoordination between the sphincter and the detrusor, and, eventually, overdistension of the bladder with a reduced contraction power of the detrusor ('lazy bladder'). Ultimately, Hinman's syndrome (non-neurogenic neurogenic bladder) may develop. The term enuresis should be used to denote incontinent, complete micturitions and should thus be reserved for bedwetting and giggle enuresis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0300-8886
pubmed:author
pubmed:issnType
Print
pubmed:volume
141
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1-6; discussion 18-9
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
Urinary incontinence in children: suggestions for definitions and terminology.
pubmed:affiliation
Department of Paediatric Surgery, East Hospital, Gothenburg, Sweden.
pubmed:publicationType
Journal Article, Review