Voiding Pattern in Healthy Children 0 to 3 Years Old: : A Longitudinal Study

Jansson, Ulla-Britt; Hanson, Maurice R.; Hanson, E.; Hellström, Anna‐Lena; Sillén, Ulla

doi:10.1016/s0022-5347(05)66963-7

Cited by 137 publications

(108 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Urodynamics were performed for baseline evaluation in the 1st year and when clinical change was apparent. 8,9 All patients underwent baseline MRI within the first 3 months of life. This study was repeated if there was clinical deterioration and later in the series, every 6 months if a syrinx was found on the initial study.…”

Section: Methodsmentioning

confidence: 99%

Radiographic predictors of deterioration in patients with lumbosacral lipomas

Hengel

Cochrane

2016

PED

View full text Add to dashboard Cite

OBJECTIVE Although patients with lumbosacral lipomas may be asymptomatic at presentation, most develop neurological symptoms over time. Given the challenges in examining infants, the authors sought to determine whether MRI would be helpful in identifying patients who are more likely to deteriorate early in life and who would potentially benefit from early surgical intervention. METHODS A retrospective review of all patients with lumbosacral lipomas who were seen at the authors' institution between 1997 and 2013 and who were managed without prophylactic surgery was performed. The clinical history and imaging results for each patient were reviewed in detail and then correlated to the pattern of and age at clinical deterioration. RESULTS Twenty-four patients were identified. Nine worsened within the first 18 months of life (early deterioration), and 15 patients deteriorated or remained stable after 30 months (late deterioration/stable). No patients worsened between 18 and 30 months of age. Patients who deteriorated early were more likely to have large intradural lipomas that filled the canal, increased during the 1st year of life, and compressed neurological structures. Some had a syrinx extending above the neural-lipoma interface. Syrinxes in patients with early deterioration were large and expanded in infancy. Patients with early deterioration had motor deficits at the time of deterioration, whereas patients with late deterioration developed mixed urological and motor dysfunction. CONCLUSIONS Patients with large lipomas displacing the cord and an enlarging syrinx have a propensity for early clinical deterioration. Given this, their families may be counseled that 1) the risk of deterioration in infancy may be higher than in infants without these features, and 2) they require more diligent observation. Intervention before deterioration in these infants should also be considered. Patients without these features may be safely observed to a lesser extent.

show abstract

Section: Methodsmentioning

confidence: 99%

Radiographic predictors of deterioration in patients with lumbosacral lipomas

Hengel

Cochrane

2016

PED

View full text Add to dashboard Cite

show abstract

“…During outdoor play of trips away children had also been asked by teachers to hold on and wait until they were back in school. Quotation: "I wee outside if no one can see me" (4). "The teacher says that we must wait until we've gone in because it's a hassle with all the clothes" (1).…”

Section: Resultsmentioning

confidence: 99%

“…By the age of three to four most children have developed the ability to control their need, to urinate and defecate and bladder capacity has increased together with the ability to properly empty the bladder [3] [4]. There are wide variations in the number of times children urinate when awake, but on average a child of early school age urinates 5 times a day [5] [6].…”

Section: Introductionmentioning

confidence: 99%

Satisfying Toilet Needs in Pre-School <br/>—Experiences of 5 - 6 Years Old

Lundblad¹,

Johansson²,

Wigert³

et al. 2016

Health

View full text Add to dashboard Cite

Background: It is known that, for reasons of hygiene and/or anxiety, some first year primary school children actively choose to avoid going to the toilet whilst at school, while at the same time many young children's primary care visits are due to urinary tract and bowel problems. By this age most children can recognise the bodily signals indicating the need for a toilet visit, and can independently perform the associated routines. Aim of this study was to describe the experience of healthy 5 to 6 years old when needing and using toilets whilst at pre-school. Methods: A qualitative descriptive method was used. Seventeen children aged 5 to 6 years were interviewed. Results: Nearly all used the toilet when the need arose, but there were times during the day when their freedom to use the toilet was restricted. Most children experienced periods of waiting outside the toilet and a long wait could result in a decision to not use it. On those occasions when help was needed, it was usually necessary to shout once or more in order to attract the teacher's attention. Some children found the toilets clean and fresh while others found them dirty and smelly. Privacy during toilet visits was desirable among the children but queue outside the toilet was a cause of worry. Conclusion: The children were mostly able to use the toilet whilst at preschool, despite the challenges to their senses and integrity and occasionally issues with the teacher's rules. The need for privacy often had to yield to the teacher's need to control the children or even because toilet doors and/or locks were not adapted to the children's requirements.

show abstract

“…The capacity of the bladder increases throughout the first 8 years of life 70,73 and can be influenced by toilet training methods. 71,[74][75][76] Coercive or permissive methods of toilet training may be associated with the development of enuresis 22,77 and encopresis.…”

Section: Enuresismentioning

confidence: 99%

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

Mota¹,

Barros²

2008

J. Pediatr. (Rio J.)

View full text Add to dashboard Cite

Objective: To review both the scientific literature and lay literature on toilet training, covering parents' expectations, the methods available for achieving bladder and bowel control and associated morbidities. Summary of the findings:Parents have unrealistic expectations about the age at which diapers can be withdrawn, not taking child development into account. Toilet training strategies have not changed over recent decades, and in the majority of countries the age at which children are trained has been postponed. Training methods are rarely used.Starting toilet training prematurely and stressful events during this period can extend the training process. Children who have not been trained correctly present with enuresis, urinary infection, voiding dysfunction, constipation, encopresis and refusal to go to the toilet more frequently. Literature intended for lay parents is both abundant and adequate, available in book form and on the Internet, but it is not widely available to the Brazilian population. Just three international pediatrics societies have published guidelines on toilet training. Conclusions:Toilet training is occurring later in the majority of countries. The training methods that exist are the same from decades ago and are rarely used by mothers and valued little by pediatricians; incorrect training can be a causative factor for bladder and bowel disorders, which in turn cause problems for children and their families.J Pediatr (Rio J). 2008;84(1):9-17: Toilet training, enuresis, child, urinary tract infection, elimination disorders.

show abstract

Voiding Pattern in Healthy Children 0 to 3 Years Old: : A Longitudinal Study

Abstract: During the first 3 years of life the number of voiding episodes, including interrupted voiding, post-void residual urine and voiding during sleep, decreased while bladder capacity increased.

Cited by 137 publications

References 19 publications

Radiographic predictors of deterioration in patients with lumbosacral lipomas

Radiographic predictors of deterioration in patients with lumbosacral lipomas

Satisfying Toilet Needs in Pre-School <br/>—Experiences of 5 - 6 Years Old

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

Contact Info

Product

Resources

About

Voiding Pattern in Healthy Children 0 to 3 Years Old: : A Longitudinal Study

Abstract: During the first 3 years of life the number of voiding episodes, including interrupted voiding, post-void residual urine and voiding during sleep, decreased while bladder capacity increased.

Cited by 137 publications

References 19 publications

Radiographic predictors of deterioration in patients with lumbosacral lipomas

Radiographic predictors of deterioration in patients with lumbosacral lipomas

Satisfying Toilet Needs in Pre-School &lt;br/&gt;—Experiences of 5 - 6 Years Old

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

Contact Info

Product

Resources

About

Satisfying Toilet Needs in Pre-School <br/>—Experiences of 5 - 6 Years Old