Abstract

Pediatric urinary disorders manifested as urinary incontinence, compelling urges to urinate, etc. remain an important problem of contemporary healthcare. In spite of being extensively covered in the literature, urinary disorders, including enuresis, still present a diagnostic challenge to the physicians of primary healthcare facilities. Based on the findings of our retrospective study that revealed discrepancies between referral and final diagnoses of pediatric urinary disorders, we give recommendations to both physicians of primary healthcare facilities and their inpatient care colleagues that will help them to arrive at the correct diagnosis of a urinary disorder or concomitant bladder-bowel dysfunction using the proposed diagnostic algorithm.

Highlights

  • Pediatric urinary disorders manifested as urinary incontinence, compelling urges to urinate, etc. remain an important problem of contemporary healthcare

  • In the past 25–30 years urinary disorders (UD) in children have been a matter of serious concern for pediatricians, nephrologists and urologists

  • Of all urinary conditions affecting the urodynamics of the lower urinary tract, UD are the most prevalent and comprise a wide range of disorders caused by the impaired storage or voiding function of the bladder [1, 3,4,5,6]

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Summary

OPINION UROLOGY

URINARY DISORDERS AND BLADDER-BOWEL DYSFUNCTION IN CHILDREN: APPROACHES TO DIAGNOSIS, TREATMENT AND PREVENTION. Based on the findings of our retrospective study that revealed discrepancies between referral and final diagnoses of pediatric urinary disorders, we give recommendations to both physicians of primary healthcare facilities and their inpatient care colleagues that will help them to arrive at the correct diagnosis of a urinary disorder or concomitant bladder-bowel dysfunction using the proposed diagnostic algorithm. По результатам ретроспективного анализа расхождения направительных диагнозов (из первичного звена здравоохранения) и заключительных клинических диагнозов у детей с нарушениями мочеиспускания даны рекомендации по правильной диагностике расстройств мочеиспускания, а также сочетанных нарушений функции тазовых органов; предложен алгоритм диагностики данных нарушений. Of all urinary conditions affecting the urodynamics of the lower urinary tract, UD are the most prevalent and comprise a wide range of disorders caused by the impaired storage or voiding function of the bladder [1, 3,4,5,6]

Etiology and pathophysiology of urinary disorders in children
Symptoms of BBD
Neurogenic dysfunction of the bladder of unspecified etiology
Findings
CONCLUSIONS

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