Evaluation and treatment of nonmonosymptomatic nocturnal enuresis: A standardization document from the International Children's Continence Society

Franco, Israel; Gontard, Alexander von; Gennaro, M. De

doi:10.1016/j.jpurol.2012.10.026

Cited by 158 publications

(129 citation statements)

References 84 publications

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“…La ICCS ha publicado varios documentos en los que describen guías de tratamientos para LUTS y sus comorbilidades (24)(25)(26)(27)(28)(29). En la Figura 6 se presenta una estrategia de diagnóstico y tratamiento del niño con LUTS.…”

Section: Tratamientounclassified

Evaluación y tratamiento del niño con síntomas del tracto urinario inferior (LUTS)

Guerrero-Tinoco

Cano-Martínez

Vanegas-Ruiz

2018

iatreia

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RESUMENLa disfunción miccional es un trastorno del llenado o vaciado de la vejiga en niños sin alteraciones neurológicas o anatómicas. Los síntomas del tracto urinario inferior (LUTS, por la sigla en inglés de Lower urinary tract symptoms) son un motivo frecuente de consulta con el pediatra, el nefrólogo o el urólogo pediatra, e incluso con el neurólogo y el psicólogo infantil. Se le considera una enfermedad relativamente benigna lo que en ocasiones genera desinterés entre médicos y familiares y lleva a consultas tardías e interpretación inadecuada de los síntomas. Manifestaciones como urgencia, incontinencia, enuresis, goteo posmiccional, infecciones urinarias, vulvovaginitis recurrente y constipación, en un niño sin enfermedad neurológica, deben hacer pensar al médico en disfunción miccional para enfocar oportunamente el diagnóstico, restablecer la calidad de vida del paciente, evitar las infecciones urinarias y el daño renal subsecuente e irreversible secundario a un diagnóstico tardío. Las recomendaciones actuales hacen énfasis en un enfoque menos invasivo, tratamiento conservador, manejo de la constipación y reentrenamiento vesical. Este artículo discute la evaluación, el diagnóstico y el tratamiento correctos de niños con LUTS.

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Section: Tratamientounclassified

Evaluación y tratamiento del niño con síntomas del tracto urinario inferior (LUTS)

Guerrero-Tinoco

Cano-Martínez

Vanegas-Ruiz

2018

iatreia

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“…True MNE represents only half of bedwetting children. The discovery of any other bladder symptoms during daytime (sometime after normalization of drinking volumes) means that the child has a non-MNE (NMNE) [87,88]. The terminology of daytime enuresis should be withdrawn from medical language.…”

Section: Enuresismentioning

confidence: 99%

Pediatric Bladder Disorders

Bérard

2014

Pediatric Nephrology

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“…About 15 to 30% of children with NE may also have daytime urinary incontinence. Daytime urinary incontinence is present in 7.8% of children up to seven years of age, with at least two episodes per week, being more common in girls than in boys [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Nocturnal Enuresis Treatment: New Perspectives

Goulardins¹,

Pereira²,

Tanaka³

2017

J Nov Physiother

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Nocturnal enuresis (NE) is a very frequent problem, characterized by involuntary voiding during sleep in individuals aged five years or more, after exclusion of organic causes. This set of associated symptoms may lead to deterioration of bladder function, upper urinary tract and, in extreme cases, even renal failure. The prevalence of voiding dysfunctions is as high as 10% of the world's pediatric population. This commentary discusses the etiology, pathophysiology, and current approaches to therapeutic management of NE. Different studies have shown associations with genetic predisposition, hormonal and metabolic factors, and central nervous system maturation delay. The major pathogenetic mechanisms include nocturnal polyuria, detrusor over activity, and disturbed sleep. Psychologic and behavioral abnormalities seem to be a result, rather than a cause, of NE. We highlight the need for this condition not to be understood as an isolated phenomenon but as a combination of several possible factors in a particular child. Bedwetting is only part of a complex set of changes in children's lives, which leads to important functional impairments and psychosocial disorders, often ignored by the family and even by the health professionals. The scenario of associated disorders demonstrates the need for a comprehensive approach.

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Evaluation and treatment of nonmonosymptomatic nocturnal enuresis: A standardization document from the International Children's Continence Society

Cited by 158 publications

References 84 publications

Evaluación y tratamiento del niño con síntomas del tracto urinario inferior (LUTS)

Evaluación y tratamiento del niño con síntomas del tracto urinario inferior (LUTS)

Pediatric Bladder Disorders

Nocturnal Enuresis Treatment: New Perspectives

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