Bréaud J, Oborocianu I, Bastiani F, Bouty A, Bérard E
Unité de chirurgie pédiatrique viscérale, hôpitaux pédiatriques de Nice, GCS CHU Lenval, 57, avenue de la Californie, 06200 Nice, France.
Arch Pediatr. 2012 Nov;19(11):1239-42. doi: 10.1016/j.arcped.2012.08.001. Epub 2012 Sep 20.
In voiding disorders in childhood, after a precise diagnosis, treatment can be provided. Aspecific hygienic and dietetic measures are the basis of care in all micturating disorders and frequently must be established to allow a precise diagnosis. In case of enuresis, restriction of beverage and diuretic foods is recommended in the evening. Other treatments for enuresis should be proposed to motivated children. In the polyuric form of enuresis, the treatment is desmopressin (DDAVP) and in the form with low bladder capacity, alarms or a combination of these 2 treatments. In dysfunctional voiding, after caring for the secondary causes, and depending on the characteristics of the disorder, the first-step treatment is pelvic floor rehabilitation with or without anticholinergic therapy. Other medical treatments are used in a second step. Isolated urethral instability remains controversial.
在儿童排尿障碍中，经过精确诊断后即可进行治疗。特定的卫生和饮食措施是所有排尿障碍护理的基础，并且常常必须确立这些措施以便进行精确诊断。对于遗尿症，建议在晚上限制饮料和利尿性食物的摄入。对于有积极性的儿童，应提出其他治疗遗尿症的方法。对于多尿型遗尿症，治疗方法是去氨加压素（DDAVP）；对于膀胱容量低的类型，则采用警报器或这两种治疗方法的联合使用。在功能性排尿障碍中，在处理继发性病因后，并根据病症的特点，第一步治疗是进行盆底康复，可联合或不联合抗胆碱能治疗。第二步使用其他药物治疗。孤立性尿道不稳定仍存在争议。
