Evaluation and management of children with lower urinary tract symptoms (LUTS)

Autor: Guerrero Tinoco, Gustavo Adolfo, Cano Martínez, Mónica Isabel, Vanegas Ruiz, Juan José
Jazyk: Spanish; Castilian
Rok vydání: 2018
Předmět:
Zdroj: Iatreia, Vol 31, Iss 1, Pp 51-64 (2018)
Druh dokumentu: article
ISSN: 0121-0793
2011-7965
DOI: 10.17533/udea.iatreia.v31n1a05
Popis: Voiding dysfunction is a disorder of the bladder filling or emptying in children without neurological or anatomical disorders. Lower urinary tract symptoms (LUTS) are a frequent reason for consulting the pediatrician, nephrologist or pediatric urologist, and even the neurologist and child psychologist. It is considered a relatively benign disease that sometimes generates disinterest among doctors and families, leading to late consultation and inadequate interpretation of symptoms. Urgency, incontinence, enuresis, post-void dribbling, urinary tract infections, recurrent vulvovaginitis and constipation in children without neurological disease should lead to consider the possibility of voiding dysfunction, in order to recognize it timely, restore the quality of life, prevent urinary tract infection and the irreversible kidney damage secondary to delayed diagnosis. Current recommendations emphasize on a less invasive approach, conservative treatment, management of constipation and bladder retraining. This article discusses the correct assessment, diagnosis and management of children with LUTS.
Databáze: Directory of Open Access Journals