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Adolescents with nocturnal enuresis and daytime urinary incontinence—How can pediatric and adult care be improved—ICI‐RS 2015?
Author(s) -
von Gontard Alexander,
Cardozo Linda,
Rantell Angie,
Djurhuus JensChristian
Publication year - 2017
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.22997
Subject(s) - enuresis , medicine , urinary incontinence , constipation , pediatrics , fecal incontinence , multidisciplinary approach , adult care , physical therapy , young adult , urology , surgery , social science , sociology
Aims Nocturnal 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 methods A systematic Scopus search was performed and relevant publications were selected. The topic was discussed during the ICI‐RS meeting in 2015. Results One 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. Conclusions Incontinence 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 . © 2017 Wiley Periodicals, Inc.