Schultz-Lampel D
Klinik für Urologie und Kinderurologie, Klinikum Wuppertal GmbH, Universität Witten/Herdecke.
Urologe A. 1999 Jan;38(1):14-9. doi: 10.1007/s001200050238.
Voiding dysfunctions secondary to failure of adequate relaxation of the striated urinary sphincter or the smooth bladder neck should be considered in children with urinary day time incontinence and/or enuresis and recurrent urinary tract infections. The urodynamic findings resemble to those obtained in neuropathic bladders, but only a minority of the children suffer from neurologic disorders or anatomical obstruction. In the majority of cases a developmental delay of the central nervous system responsible for urinary control is assumed. Behavioural disturbances play another important etiological role. Therapy is based on behavioural modification.
对于有日间尿失禁和/或遗尿以及反复尿路感染的儿童，应考虑因横纹肌性尿道括约肌或膀胱颈平滑肌充分松弛失败继发的排尿功能障碍。尿动力学检查结果类似于神经源性膀胱，但只有少数儿童患有神经疾病或解剖学梗阻。在大多数情况下，推测是负责排尿控制的中枢神经系统发育延迟。行为障碍在病因学上也起另一个重要作用。治疗基于行为矫正。
