Primer: Diagnosis and Management of Uncomplicated Daytime Wetting in Children

Vijaya M Vemulakonda; Eric A Jones


Nat Clin Pract Urol. 2006;3(10):551-559. 

In This Article


Uncomplicated daytime wetting represents a spectrum of voiding disorders in children. Although most cases are not related to any structural or neurologic abnormality, it is important to exclude an organic etiology in any child who presents with daytime wetting. As a result, a thorough medical history and physical examination is essential at the time of diagnosis. Additional laboratory, radiographic, and urodynamic investigations might be indicated in selected patients.

Once functional urinary incontinence has been diagnosed, a variety of behavioral modification and medical treatments are available. Use of a structured approach to the diagnosis and treatment of voiding dysfunction in children means that the physician can address the underlying voiding disorder effectively, while minimizing the effects of the condition on the child's social development and preventing the potentially harmful effects of infection, vesicoureteral reflux, and obstructive uropathy that are associated with untreated voiding dysfunction.

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