OBJECTIVES To explore the clinical care experiences of young people with continence problems. DESIGN In-depth semistructured qualitative interviews were conducted by Skype and telephone, with the addition of art-based participatory research techniques. Transcripts were analysed using inductive thematic analysis. SETTING Primary and secondary care in the UK. PARTICIPANTS We interviewed 20 ...

A 4-year-old Jewish boy presented with dysuria, urinary dribbling, increased urinary frequency, and new onset of diurnal enuresis. An infiltrating solid mass involving the entire bladder wall was found. Biopsy revealed "tumor-forming" eosinophilic cystitis, a rare bladder lesion of unclear cause. Antitoxocariasis treatment was unsuccessful. High-dose corticosteroids failed. The child's clinical...

PURPOSE We sought to determine the benefits and harms of interventions for children with daytime urinary incontinence. MATERIALS AND METHODS Trials of any interventions for children with primary daytime incontinence (the urge syndrome and/or dysfunctional voiding) were identified from the Cochrane Controlled Trials Register, MEDLINE, EMBASE, reference lists of articles, abstracts from confere...

The clinical features and management of 27 children with cerebral palsy referred with symptoms of lower urinary tract dysfunction were reviewed. The mean age at referral was 9.9 years. Daytime urinary incontinence was the commonest presenting symptom. Videourodynamic studies were abnormal in 23 patients (85%). Only two children had evidence of upper renal tract damage. Treatment was determined ...

Most cases of daytime incontinence in prepubertal girls have a functional aetiology, although a neurogenic dysfunction must always be ruled out. Vaginal reflux (VR) or intravaginal urination has been recognised as a cause of urinary incontinence with post void dribbling in prepubertal girls. The reverse flow of urine into the vagina can sometimes be perceived in a retrograde voiding cystourethr...

Treatment of primary nocturnal enuresis using DDAVP is based upon the hypothesis that antidiuretic hormone (ADH) secretion is insufficient at night. The known efficacy of the treatment on the one hand, and persisting doubts about its theoretical basis on the other, formed the background of the present study. Ten children (mean age 10.5 years) with primary nocturnal enuresis were compared with a...

Justin is a 6-year-old boy diagnosed with attention-deficit/hyperactivity disorder who presented with daytime and night-time wetting. He had been toilet trained at the age of 3 years but was back in diapers as a result of the enuresis. His bowel movements were normal. The initial evaluation consisted of a urinalysis, urine culture, serum creatinine level, and renal/bladder ultrasound examinatio...

Enuresis is an important human problem. The persistence of the disability is regarded with despair by parents, while the patients' distress and embarrassment are difficult to assess. In spite of investigations and treatment by paediatricians, urologists and psychiatrists there is still no reliable cure. During a period of post-graduate study in Stockholm one of us became interested in a new cys...

Although there exist numerous pediatric sleep disorders as defined by the DSM-IV and the American Sleep Disorders Association, the majority of these problems are transient in nature and/or present problems primarily at night (e.g. insomnia, enuresis, nightmares, night terrors, somnambulism). Sleep apnea and narcolepsy, conversely, are often chronic, potentially lifelong disorders that give rise...