Article

Dysfunctional voiding

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Abstract

Dysfunctional elimination syndrome (DES) refers to an abnormal pattern of elimination of unknown etiology characterized by bowel and bladder incontinence and withholding. School-aged children with DES had a higher prevalence of previous urinary tract infections and congenital vesicoureteral reflux. Urinary incontinence in children may be caused by a congenital anatomical or neurological abnormality. Many children, however, do not have such an obvious cause for their incontinence and they are referred to as having functional incontinence. Functional urinary incontinence in children may be due to disturbances of the filling phase, the voiding phase or a combination of both. When incontinence is the result of urethral overactivity during voiding the term dysfunctional voiding is used.

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