URINARY INCONTINENCE IN CHILDREN
What is urinary incontinence? Urinary incontinence (enuresis) is the involuntary urination at an inappropriate or socially unacceptable place and time. Urine leakage while asleep or awake
- Delay in the development of systems related to urinary retention and production
- Problem in acquiring toilet habit: Toilet habit is in the age when bladder control begins to be acquired. If not given, enuresis can be seen at a large rate in these children. They state. However, studies and clinical observations show that sleep-related problems alone are not sufficient to explain enuresis.
- Psychological factors: Psychological or psychiatric disorders are frequently accused in the etiology of enuresis, and it is claimed that children with enuresis have social adaptation problems and behavioral disorders. However, the rate of patients with actual psychiatric disease or behavioral disorder in the population of children with enuresis is very low, and no specific psychiatric disease or behavioral disorder thought to accompany enuresis has been reported. Again, some studies conducted in recent years have shown that psychological disorders do not cause enuresis, but enuresis causes some behavioral disorders. Observation of positive psychological changes in children whose enuresis is treated supports the view that enuresis causes psychopathology, rather than psychopathology causing enuresis.
- Urinary tract infections
- Congenital abnormalities in the urinary tract
- Behavior Modification
- Pharmacological Treatment
- Motivation Therapy: The aim is to develop a good relationship between the child and the parents. By applying the calendar method, the child is rewarded on the days when he does not wet the bed. This alone is often not enough. The chance of success is around 25%.
- Condition-Alarm Treatment: The alarm device is a system that is placed in the child's underwear and gives an audible warning when the child starts to urinate. It is difficult to apply in children younger than 7 years old. There is a 65-85% chance of success after 4-6 months of treatment. However, there is a risk of recurrence after treatment is stopped.
- Bladder retention training: This type of treatment can be applied in some patients with enuresis because their bladder capacity is lower than normal. In this treatment, the child is made to drink excessive fluid throughout the day and is asked to hold urine for a long time. It is not a very useful method in practice.