- Urinary incontinence
- Urge urinary incontinence
- Overactive bladder
- Giggle incontinence
- Nocturnal enuresis
- Dysfunctional voiding, dysfunctional elimination syndrome
- 596.5 Other functional disorder of the bladder
- 788.3 Urinary incontinence
- 788.31 Urge incontinence
- 788.34 Incontinence without sensory awareness
- 788.36 Nocturnal enuresis
- 788.39 Other urinary incontinence
- N33 Bladder disorders in diseases classified elsewhere
- N39.41 Urge incontinence
- N39.42 Incontinence without sensory awareness
- N39.44 Nocturnal enuresis
- N39.498 Other specified urinary incontinence
- R32 Unspecified urinary incontinence
- Involuntary loss of urine control during the daytime in a child older than 5 years old (or mental age of 5) and/or during the nighttime in a child older than 6 years old2
- Involuntary loss of urine control accompanied by or immediately preceded by urgency
- Complete voiding during or immediately after laughing3
- Inability to relax the external sphincter during voiding in children with no evidence of neurologic abnormality4
- Voiding record observed and recorded by an adult
- Urodynamic testing
- Detrusor (smooth muscle of the bladder) overactivity: high detrusor pressure during leakage episode during urodynamic testing is indicative of detrusor overactivity
- Detrusor sphincter dyssynergia (DSD): simultaneous contraction of the external urinary sphincter and detrusor during an attempt to void
- The fully toilet trained child has the ability to stop and start flow of urine, initiate voiding by relaxing external urethral sphincter, and cortically inhibit a bladder contraction 5
- Rule out lower urinary tract infections
- Sudden onset of symptoms
- Urinary frequency
- Urinary urgency
- Lower back pain
- Rule out myogenic dysfunction of the detrusor
- 21.8% of school aged children had lower urinary tract dysfunction
- Symptoms were most frequent in girls (p < 0.001), children aged 6 to 8 years old (p < 0.028), and attended the school with the lowest social level (p < 0.001).
- 30.7% had diurnal urinary incontinence
- 19.1% had holding maneuvers; strategies to postpone voiding
- 13.7% had urinary urgency6
- Eneuresis: at age 5, 15% to 25% of children wet the bed
- With each year of maturity, the percentage of bed-wetters declines by 15%: 8% of 12-year-old boys and 4% of 12-year-old girls are enuretic; only 1% to 3% of adolescents are still wetting their bed 7
- Loss of urine without meaning to urinate
- Bed wetting
- Urgency: sudden unexpected need to urinate, after age 5
- Nocturia: nighttime voids after age 5, normal = 0
- Hesitancy: slow initiation of void after age 5
- Straining: abdominal pressure during void
- Weak stream: decreased force of flow
- Intermittency: bursts of urine during voiding, physiological up to age 3 if no straining; after 3 is always considered dysfunctional
- Holding maneuvers: strategies to postpone voiding, after age 5
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