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Adolescents with nocturnal enuresis and daytime urinary incontinenceHow can pediatric and adult care be improvedICI-RS 2015?

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Alexander von Gontard, Saarland Univ Hosp, Saarland University, Dept Child & Adolescent Psychiat
  • ,
  • Linda Cardozo, Kings Coll Hosp London, King's College Hospital NHS Foundation Trust, King's College Hospital, Dept Urogynaecol
  • ,
  • Angie Rantell, Kings Coll Hosp London, King's College Hospital NHS Foundation Trust, King's College Hospital, Dept Urogynaecol
  • ,
  • Jens-Christian Djurhuus

AimsNocturnal enuresis (NE) and daytime urinary incontinence (DUI) are common in adolescents. The aim of this paper was to review studies on prevalence, clinical symptoms and associated risk factors and to formulate recommendations for assessment and treatment.

Materials and methodsA systematic Scopus search was performed and relevant publications were selected. The topic was discussed during the ICI-RS meeting in 2015.

ResultsOne to two percent of older adolescents are affected by NE and 1% by DUI. NE and DUI are associated with multiple risk factors such as fecal incontinence and constipation, obesity, chronic illness, and psychological impairment. Chronic treatment-resistant, relapsing and new-onset cases can occur. Adolescent NE and DUI can be treated by a multidisciplinary team according to pediatric principles. Additional treatment components have been developed for adolescents. Transition from pediatric to adult services is frequently disorganized.

ConclusionsIncontinence in adolescents is a neglected research topic and clinical care is often suboptimal. As adolescents are seen by both pediatric and adult services, alignment and harmonization of diagnostic and therapeutic principles is needed. Also, an organized transition process is recommended to improve care for adolescent patients. Neurourol. Urodynam. 36:843-849, 2017. (c) 2017 Wiley Periodicals, Inc.

OriginalsprogEngelsk
TidsskriftNeurourology and Urodynamics
Vol/bind36
Nummer4
Sider (fra-til)843-849
Antal sider7
ISSN0733-2467
DOI
StatusUdgivet - apr. 2017
BegivenhedICI-RS Meeting - Bristol
Varighed: 1 jun. 2015 → …

Konference

KonferenceICI-RS Meeting
ByBristol
Periode01/06/2015 → …

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