Averous M
Rev Prat. 1989 Jan 19;39(1):15-20.
After a description of the bladder-sphincter system physiology and of the different stages in the acquisition of micturition control by children, as revealed by urodynamic explorations, the author presents the bladder immaturity syndrome. This entity includes diurnal disorders of micturition--such as urgencies, pollakiuria, more seldom retention and incontinence--which can readily be identified by questioning. It accounts for many cases of nocturnal enuresis which may benefit from treatment with anticholinergic drugs. Nocturnal enuresis without disorders of micturition in daytime is due to other physiopathological mechanisms. It is preferably treated with tricyclic antidepressants and other non-medicinal therapies. All cases should be investigated for a possible organic pathology. A practical classification of enuresis is given.
在描述了膀胱括约肌系统生理学以及尿动力学检查所揭示的儿童排尿控制获得的不同阶段后，作者介绍了膀胱发育不全综合征。该病症包括日间排尿障碍，如尿急、尿频，较少见的尿潴留和尿失禁，通过问诊即可轻易识别。它是许多夜间遗尿症病例的病因，这些病例可能受益于抗胆碱能药物治疗。白天无排尿障碍的夜间遗尿症是由其他生理病理机制引起的。最好用三环类抗抑郁药和其他非药物疗法进行治疗。所有病例都应检查是否存在可能的器质性病变。文中给出了遗尿症的实用分类。
