Department of Pediatric Urology, Ghent University Hospital, Ghent, Belgium.
J Urol. 2010 Feb;183(2):699-703. doi: 10.1016/j.juro.2009.10.038. Epub 2009 Dec 21.
This article is one of the standardization documents of the International Children's Continence Society, and discusses how anatomical/iatrogenic and functional/urodynamic causes of daytime incontinence in children of all ages are to be diagnosed, how neurogenic bladder dysfunction or urinary tract infection is excluded as a cause of the wetting, and how further diagnostic evaluation of children with disturbances such as overactive bladder, voiding postponement and dysfunctional voiding is performed. The roles of history taking (including prenatal and perinatal issues and family history), physical examination, diagnostic bladder diaries, noninvasive urodynamic investigations and radiological imaging are delineated but therapy is not within the scope of this document.
This document was designed and written by an international panel of authors with a large experience in assessment of children with incontinence.
The best evidence was retrieved from the literature and assembled in a standardization document.
Assessment of children with daytime symptoms is discussed. A noninvasive approach in these children allows us to select patients who will need a more invasive assessment.
本文是国际儿童尿控协会的标准化文件之一，讨论了如何诊断各个年龄段儿童日间遗尿的解剖/医源性和功能/尿动力学原因，如何排除神经源性膀胱功能障碍或尿路感染作为遗尿的原因，以及如何对逼尿过度、排尿延迟和功能性排尿障碍等障碍的儿童进行进一步的诊断评估。本文描述了病史采集（包括产前和围产期问题以及家族史）、体格检查、诊断性膀胱日记、非侵入性尿动力学检查和影像学检查的作用，但治疗不在本文的范围内。
本文件由具有丰富评估遗尿儿童经验的国际作者小组设计和撰写。
从文献中检索到最佳证据，并汇编成一份标准化文件。
讨论了日间症状儿童的评估。对这些儿童采用非侵入性方法，使我们能够选择需要更侵入性评估的患者。
