Adolescents with nocturnal enuresis and daytime urinary incontinenceHow can pediatric and adult care be improvedICI-RS 2015?

作者：von Gontard Alexander^*; Cardozo Linda; Rantell Angie; Djurhuus Jens Christian

来源：Neurourology and Urodynamics, 2017, 36(4): 843-849.

DOI：10.1002/nau.22997

• adolescent
• daytime urinary incontinence
• nocturnal enuresis
• transition

AimsNocturnal enuresis (NE) and daytime urinary incontinence (DUI) are common in adolescents. The aim of this paper was to review studies on prevalence, clinical symptoms and associated risk factors and to formulate recommendations for assessment and treatment.
Materials and methodsA systematic Scopus search was performed and relevant publications were selected. The topic was discussed during the ICI-RS meeting in 2015.
ResultsOne to two percent of older adolescents are affected by NE and 1% by DUI. NE and DUI are associated with multiple risk factors such as fecal incontinence and constipation, obesity, chronic illness, and psychological impairment. Chronic treatment-resistant, relapsing and new-onset cases can occur. Adolescent NE and DUI can be treated by a multidisciplinary team according to pediatric principles. Additional treatment components have been developed for adolescents. Transition from pediatric to adult services is frequently disorganized.
ConclusionsIncontinence in adolescents is a neglected research topic and clinical care is often suboptimal. As adolescents are seen by both pediatric and adult services, alignment and harmonization of diagnostic and therapeutic principles is needed. Also, an organized transition process is recommended to improve care for adolescent patients. Neurourol. Urodynam. 36:843-849, 2017.

• 出版日期2017-4