Bloom D A, Park J M, Koo H P
Department of Surgery, University of Michigan, Ann Arbor 48109-0330, USA.
Eur Urol. 1998;33 Suppl 3:20-4. doi: 10.1159/000052237.
This paper addresses pediatric elimination disorders including nocturnal enuresis from the perspectives of terminology (the Whorf hypothesis), the elimination interview, and the guarding reflex.
The elimination interview and a modern model of normal voiding function, including the guarding reflex, are explained.
The language of voiding dysfunction influences our perception of it. Nocturnal enuresis, and all other voiding dysfunctions, should be evaluated by a careful elimination interview. The guarding reflex may fit into an evolving etiologic paradigm for nocturnal enuresis.
(1) Words and phrases of eliminology should aim for simplicity, clarity and accuracy. (2) Urologists need to perfect their eliminology skills vis-à-vis the elimination interview. (3) The role of the guarding reflex in nocturnal enuresis and all other voiding dysfunctions should be critically examined.
本文从术语（沃尔夫假说）、排泄访谈和保护反射的角度探讨小儿排泄障碍，包括夜间遗尿症。
解释了排泄访谈以及正常排尿功能的现代模型，包括保护反射。
排尿功能障碍的语言影响我们对它的认知。夜间遗尿症以及所有其他排尿功能障碍，都应通过仔细的排泄访谈来评估。保护反射可能符合夜间遗尿症不断发展的病因学范式。
（1）排泄学的词汇和短语应力求简单、清晰和准确。（2）泌尿科医生需要在排泄访谈方面完善他们的排泄学技能。（3）应严格审视保护反射在夜间遗尿症和所有其他排尿功能障碍中的作用。
