How can pediatric and adult care be improved-ICI-RS 2015?


eMediNexus    23 May 2018

An article published in Neurourology and Urodynamics was based on a review of studies on prevalence, clinical symptoms and associated risk factors of nocturnal enuresis (NE) and daytime urinary incontinence (DUI) to formulate recommendations for assessment and treatment. This review entailed a systematic search from Scopus and selection of relevant publications. The article reported on the discussion during the ICI-RS meeting in 2015, stating that one to two percent of older adolescents are affected by NE and one percent by DUI. NE and DUI are associated with multiple risk factors, such as fecal incontinence and constipation, obesity, chronic illness, and psychological impairment. Meanwhile, chronic treatment-resistant, relapsing and new-onset cases can occur. It was stated that adolescent NE and DUI can be treated by a multidisciplinary team according to pediatric principles. It was inferred that alignment and harmonization of diagnostic and therapeutic principles is needed to manage incontinence in adolescents. Further, an organized transition process is recommended to improve care for adolescent patients.

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