Voiding Dysfunction, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

This book describes Voiding Dysfunction, Diagnosis and Treatment and Related DiseasesVoiding Dysfunction disorders are diseases which cause problems in the function of urination. Types of Voiding Dysfunction are:1. Overactive bladder (Uninhibited detrusor contractions)2. Dysfunctional Voiding (Dysfunction of the pelvic floor musculature)3. Under-active Bladder (Decreased force of detrusor contractions)Causes:1.
Behavioral disorders or poor habits2. Congenital urinary disorders3. Genetic diseases that affect the urinary tract (Ochoa syndrome, Williams syndrome)4. Acquired problems of the urinary tract (such as those caused by tumors or trauma)5. Central nervous system diseases that affect the urinary tract (such as cerebral palsy, epilepsy, multiple sclerosis, other abnormalities of the brain or spinal cord that affects the nerves that control bladder or urinary sphincter function)6.
Endocrine or kidney diseases that affect the urinary tract (diabetes, chronic kidney disease)7. Infections or irritations that affect the urinary tract (such as urinary tract infections, urethritis, pinworms, foreign body)Other causes can be:1. Stress incontinence (the involuntary loss of urine during actions such as coughing or sneezing), 2. Giggle incontinence, and3. Delayed nighttime bladder control.4.
Urge Incontinence5. Tumors and traumaNo one knows what causes voiding dysfunction, but the disorder can affect children physically, socially and psychologically. Left untreated, some types of voiding dysfunction can produce vesicoureteral reflux (VUR) and long term kidney damage. Possible behavioral causes for voiding dysfunctions are:1. Not going to the bathroom often enough2. Rushing in and out of the bathroom too quickly3.
Not emptying the bladder completely4. Ineffective voiding positions, such as little girls' failure to spread their legs widely5. Constipation6. Past experience with painful urination7. Psychological or emotional stress8. Attention deficit disorderSymptoms1. Bedwetting2. Daytime wettingUrine loss is mild, indicated by a slight wetting of underwear. Together with urinary accidents during the day or night and recurrent urinary tract infections, children with voiding dysfunctions may have other symptoms, such as:1.
Constipation and fecal soiling2. Painful urination3. Blood in the urine4. Slow, straining or dribbling urination, intermittent urine flow and straining at urination5. A frequent (or infrequent) urge to urinate instantly6. Pain in the back, lower side or abdomen7. An urgent, severe urge to urinate with inability to hold8. Problems with voiding can be linked to children's anatomy, physiology or bathroom habits.9.
Incontinence (urine leakage) during the day and night - often is the first sign observed by parents10. Returning urinary tract infections11. Infrequent urination or three or fewer urinations in a 24-hour periodDiagnosis1. Urinalysis:2. Kidney and Bladder Ultrasound3. Uroflow EMG4. Urodynamic testing5. Voiding CystourethrogramTreatmentDiagnosis and treatment for voiding dysfunction relieves a problem for many families.
Low self-esteem and emotional stress often affect children who cannot hold their urine. Children can improve voiding by:1. Scheduling a time to urine (every hour or two) regardless of urge2. Avoiding dietary irritants3. Taking more time in the bathroom4. Altering their position during voiding5. Emptying the bladder twice to make sure it voids totally6. Eating a high fiber diet7. Increasing water consumption8.
Drinking fluids well before bedtimeThese behavioral changes may be supported by medicines, physical therapySurgery also can help to reduce the pressure inside the bladderTABLE OF CONTENTIntroduct...