How is voiding postponement differentiated from overactive bladder (OAB) in children?

Updated: Apr 01, 2019
  • Author: Pamela I Ellsworth, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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The term voiding postponement is a new classification of voiding dysfunction proposed by Lettgen et al. [18] In this condition, children postpone urination until overwhelmed by urgency. Urgency forces them to rush to the toilet, and leakage often occurs along the way. Initially, this disorder was attributed to detrusor overactivity. However, clinically significant behavioral symptoms were found to be more common in children with voiding postponement, suggesting more of a behavioral etiology.

These children tend to relax their pelvic floor muscles when voiding; thus, most of these children have a normal uroflow pattern, and only 20% have a staccato pattern. [18]

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