Non-Neurogenic Bladder Dysfunction In Children: Diagnosis And Procedure

Nadeak, Bernadetha (2017) Non-Neurogenic Bladder Dysfunction In Children: Diagnosis And Procedure. International Journal of Advanced Research (IJAR), 5 (10). pp. 568-574. ISSN 2320 5407

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Abstract

Bladder dysfunction is a urinary problem commonly found in children,may be neurogenic, anatomical, and non-neurogenic dysfunction. The problem is often accompanied by urinary tract infections, vesicoureter reflux, and renal scarring, potentially leading to chronic kidney disease, as well as having severe physical and psychosocial effects on the child. Clinical manifestations of bladder dysfunction appear to be in accordance with urinary pathophysiology, ie, storage or micturition disorders (voiding), with terminology referring to the consensus of the International Children's Continent Society (ICCS) 2015. Diagnosis is made clinically by anamnesis and physicalexamination with the main principle of getting rid of neurological and anatomical abnormalities, and routine urine recording. The modalities of investigation can be noninvasive (urinalysis, ultrasound, uroflowmetry) or invasive (sistogram). Comprehensive management of non-neurogenic bladder dysfunction consists of urotherapy (including biofeedback therapy),pharmacological therapy, surgical therapy, and neuromodulation or neurostimulation.

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