Official reprint from UpToDate®
www.uptodate.com ©2017 UpToDate, Inc. and/or its affiliates. All Rights Reserved.

Medline ® Abstract for Reference 65

of 'Etiology and clinical features of bladder dysfunction in children'

Voiding dysfunction associated with incontinence, vesicoureteral reflux and recurrent urinary tract infections.
McKenna PH, Herndon CD
Curr Opin Urol. 2000;10(6):599.
Over the last several decades voiding dysfunction in children has primarily been associated with incontinence and thought to be secondary to bladder instability from delayed brain maturation. Full urodynamic evaluation became the standard recommendation and treatment centred on early institution of anticholinergics. Recently, this strategy has been questioned as medical programs including pelvic floor muscle treatments have shown tremendous success in curing incontinence, decreasing surgical rates for vesicoureteral reflux, and decreasing recurrent urinary tract infections.
Department of Pediatric Urology, Connecticut Children's Medical Center, Hartford 06106, USA. pmckenn@ccmckids.org