Urinary incontinence in children

The urinary incontinence refers to the loss or leakage of urine. This situation represents a frequent cause of consultation in paediatric centres.

The urinary incontinence you can:

• Create stress, anxiety, and embarrassment for the children.
• To avoid that enjoy social activities.
• Affect the school performance of a child.
• Generates lost work days for parents.

Causes

There are many reasons why children wet:

• Many children do not want to miss the fun activities to go to the bathroom.
• Some children wet their only two or three times a day; they are just too busy to go to the bathroom until it's too late to reach the bathroom in time.
• Other children have contractions uncontrolled and involuntary bladder (Overactivity of the muscle in the bladder or detrusor) , that make them feel that they need to go to the bathroom “you Anymore, now!”
• Some children do not fully flushed the bladder when you go to the bathroom, leaving residual urine.

Dysfunction of evacuation

Means your child can't completely empty your bladder.

• In a normal cycle, the bladder your child will stretch easily when it is filled with urine, and then it collapsed completely during the evacuation.
• There must not be premature contractions of the bladder or increase the pressure as it is filled.
• During the phase of normal bowel movement, there must be a complete relaxation of the muscle of the external urethral sphincter, so that the urine is released from the bladder flow so smooth and complete, without interruption, to the extent that the bladder is empty.
• A flow interrupted or intermittent urine or incomplete emptying are the causes of voiding dysfunction or evacuation.
• There can be an association with intestinal disorders, such as Constipation and/or Fecal Incontinence.

Complementary studies:

• Record journal urinary and calendar
• Uroflowmetry with electromyography perineal.
• Ultrasound kidney and bladder with measurement of residue postmiccional.

Treatment for Lower Urinary Tract Symptoms:

Our Center is dedicated to the treatment, management of children with urinary incontinence and some intestinal disorders. Will work with you and your child to help you understand why you get wet urine or soiled his underwear and recommend a treatment plan, so that it does not require the use of protective / diapers and protect your tree urinary.

The steps needed to control the urinary incontinence include:

Uroterapia standard:

• Urinating on a routine schedule of every two to three hours.
• Identifying the constipation and the constipation behind.
• Increase the amount of water consumed during the day.
• Avoid drinks that may irritate the bladder: caffeine, carbonation, citrus juices with stimulants and sports.
• Appropriate position on the toilet.

• Training with biofeedback Biofeedback: a noninvasive way to teach children how to relax the pelvic floor muscles so that they can empty the bladder completely. This program will require several visits or sessions in a given period. The child comes in contact with a program computed friendly with stories and figures for children that will guide you to achieve your goals, continually accompanied by Nurses and trained Specialist. It is necessary and important is the willingness and the motivation in children to that a program has acceptable results.

• Neuromodulation / Electrical Nerve Stimulation Transcutanea: The neuromodulation evokes the modification of the activity of the bladder and the sphincters, thanks to an electric stimulus controlled from very low intensity. It is a therapy “Non-drug”, used safely in children, for various functional disorders of the lower urinary tract and also in the intestine. To dispense drugs, it comes from the advantage of avoiding the undesirable effects arising from the use of drugs. This method uses electric current of low frequency and intensity, applied “on the surface” with self-adhesive electrodes in lumbar area. It is a painless procedure and the child can be distracted with apps, tablets or books. Indications: Overactivity of the bladder muscle or detrusor, Constipation and LUTS in the “patients and neurologically healthy”, as a second line of therapy-refractory Uroterapia standard and medication anticholinergic. This program will require several visits or sessions in a given period.