Treatment for Urinary Conditions in Children Flashcards
Primary Monosymptomatic Nocturnal Enuresis: Symptoms
Only nighttime wetting (no daytime symptoms); never had period of being dry at night
Primary monosymptomatic nocturnal eneuresis: treatment
Bed-wetting alarm- most effective long term
Demopressin (DDAVP)-good initial response but high relapse rate (use only oral medication)
Overactive bladder symptoms
Urgency +/- incontinence
Overactive bladder treatment
Antimsucarinics:
Oxybutynin
Tolterodine
Voiding postponement (aka willful retainer) symptoms
Infrequent voiding
Voluntary holding of urine
Often to avoid school or public bathrooms
Voding postponement treatment
Timed voiding
Treatment of behavioral (ADHD) or psychological issues
Dysfunctional voiding symptoms
Voluntary contracting of external sphincter during void
Dysfunctional voiding treatment
Biofeedback= method to teach child how to relax pelvic floor and external sphincter during voiding
Primary bladder neck dysfunction: symptoms
Bladder neck does not open appropriately or completely during voiding, leading to urinary flow obstruction
Hesitancy is most common LUTS
Primary bladder neck dysfunction treatment
Alpha blockers:
Tamsulosin
Giggle incontinence symptoms
Involuntary large-volume incontinence during laughing
Giggle incontinence treatment
Methylphenidate is highly successful.
