Pediatric incontinence : evaluation and clinical management / Israel Franco [and four others], editors.

Format:

Book

Contributor:

Franco, Israel, editor.

Language:

English

Subjects (All):

Pediatric urology--Diagnosis.

Pediatric urology.

Pediatric urology--Handbooks, manuals, etc.

Physical Description:

1 online resource (435 p.)

Edition:

1st ed.

Place of Publication:

West Sussex, England : Wiley Blackwell, 2015.

Language Note:

English

Summary:

Pediatric incontinence: evaluation and clinical management offersurologists practical, 'how-to' clinical guidance towhat is a verycommon problem affecting up to 15% of children aged 6 years old. Introductory chapters cover theneurophysiology, psychological and genetic aspects, as well as theurodynamics of incontinence, before it moves on to itscore focus, namelythe evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world's leading gurus of pediatric urology, have recruited a truly stellarteam of contributors each of whom haveprovided first-rate, high-quality contributions on theirspecific areas of expertise.Clear management algorithms for each form of treatment support the text, topics of controversyare covered openly, andthelatest guidelines from the ICCS, AUA and EAU areincluded throughout. Perfect to refer to prior to seeing patients on thewards and in the clinics, this is the ideal guide to the topic and an essential purchase forall urologists, pediatric urologists andpaediatriciansmanagingchildrensuffering from incontinence.

Contents:

Intro

Title Page

Table of Contents

Contributors

Preface

SECTION 1: Pathophysiology of bowel and bladder dysfunction

CHAPTER 1: Neurophysiology of voiding

Anatomy of the lower urinary tract

Afferent mechanisms

Spinal cord and brainstem

Cortex

Efferent mechanisms, peripheral

Efferent mechanisms, central

Development of urinary continence

Conclusion

References

CHAPTER 2: Neurophysiology of defecation

Normal defecation patterns

Functional anatomy of colon, rectum, and anus

Colorectal motility and defecation

CHAPTER 3: Functional brain imaging in bowel and bladder control

Introduction

Background

Anterior cingulate cortex

Prefrontal cortex

PAG and PMC

Acknowledgments

SECTION 2: Epidemiological aspects of bowel and bladder dysfunction

CHAPTER 4: The epidemiology of childhood incontinence

Nocturnal enuresis

Daytime urinary incontinence

Fecal incontinence

CHAPTER 5: Quality of life factors in bladder and bowel dysfunction

Quality of life factors in BBD

Neurogenic BBD

CHAPTER 6: Psychological aspects in bladder and bowel dysfunction

Subclinical symptoms

Clinical comorbid disorders

Differences in types of incontinence

Conclusions and recommendations

Appendix Short screening instrument for psychological problems in enuresis (SSIPPE)

Short screening instrument for psychological problems in enuresis (SSIPPE)

Strengths and Difficulties Questionnaire (SDQ)

CHAPTER 7: Neuropsychiatric disorders and genetic aspects of bowel or bladder dysfunction

Cortical thinning and neuropsychiatric disorders

Right frontal lobe and incontinence

ADHD

Lateral prefrontal cortex.

White matter abnormalities

How does this correlate to children?

SECTION 3: Evaluation of bowel and bladder dysfunction

CHAPTER 8: Urodynamics in the pediatric patient

Evaluation of children prior to UDS

Preparation of the child for UDS

Invasive urodynamics

Catheter and electrode placement

Cystometry

Uroflowmetry

Timing of UDS

CHAPTER 9: Uroflowmetry and postvoid residual urine tests in incontinent children

Interpretation

CHAPTER 10: Evaluation of the child with voiding dysfunction

History and physical examination

Questionnaires and their validity

Classification and major features of voiding dysfunction disorders

The bowel issue

CHAPTER 11: Evaluation of constipation and fecal incontinence

Definitions

Normal defecation pattern

Epidemiology

Medical history

Physical examination

Laboratory investigations

Abdominal radiograph

Colonic transit time measurement

Transabdominal rectal ultrasonography

Contrast enema

Defecography

Magnetic resonance imaging

Anorectal manometry

Colonic manometry

SECTION 4: Treatments of functional bowel and bladder dysfunction

CHAPTER 12: Implementation of urotherapy

Implementation of urotherapy

Specific interventions

Bowel therapy

CHAPTER 13: The concept of physiotherapy for childhood BBD

The concept of physiotherapy for childhood bladder and bowel dysfunction

CHAPTER 14: Biofeedback for the treatment of functional voiding problems

The dietary log and voiding chart

Toilet posture

Relaxation biofeedback training

Biofeedback efficacy

References.

CHAPTER 15: Pharmacotherapy of the child with functional incontinence and retention

Lower urinary tract symptom management

Overactive bladder

Urinary retention/incomplete bladder emptying

Antidepressants

Other drugs

CHAPTER 16: Treatment of functional constipation and fecal incontinence

Treatment of functional constipation in infants and toddlers

Treatment of functional constipation with and without fecal incontinence in children and adolescents

Treatment of nonretentive fecal incontinence

CHAPTER 17: Peripheral tibial nerve stimulation therapy for the treatment of functional voiding problems

Technique

Mechanism of action of PTNS

PTNS in pediatric lower urinary tract dysfunction

Conclusions

CHAPTER 18: Sacral nerve stimulation therapy for the treatment of functional voiding problems

Mechanism of action of SSN

Patient selection for SSN

Implantation technique

Outcomes of SSN

CHAPTER 19: Superficial stimulation therapy for the treatment of functional voiding problems

Clinical results

Comparative studies with other methods

Tens for constipation

Enuresis

CHAPTER 20: Botulinum toxin in the treatment of the functional bladder

Use of botulinum toxin in children: Introduction

Biochemical

Use of Botox in pediatric urology

Technique of injection

Dose, patient safety, and antibodies

CHAPTER 21: Psychological management of BBD

Psychological aspects in evaluation of BBD

Psychological management of BBD

SECTION 5: Nocturnal enuresis

CHAPTER 22: Pathophysiology of nocturnal enuresis

Nocturnal polyuria.

Underlying pathogenic mechanisms

Reduced nocturnal bladder reservoir function

Disturbed sleep/arousal function

Genetic factors

CHAPTER 23: Evaluation of the enuretic child

Tools

Evaluation strategy

CHAPTER 24: Management of monosymptomatic nocturnal enuresis (enuresis)

Who should start the treatment?

When to start the treatment?

Treatment

Desmopressin therapy [15, 54-57]

CHAPTER 25: Psychological aspects in evaluation and management of nocturnal enuresis (NE)

Different types of nocturnal enuresis and different types of psychological problems

Children with special needs

Psychological aspects in evaluation

Psychological aspects of treatment

Appendix 25.A Short screening instrument for psychological problems in enuresis (SSIPPE)

Strengths and difficulties questionnaire (SDQ)

Other questionnaires

Child behavior checklist

Behavior assessment system for children: Second edition (BASC-2)

SECTION 6: Neurogenic bladder and bowel dysfunction

CHAPTER 26: Diagnostic evaluation in children with neurogenic bladder

Diagnostic modalities

Evaluation of the neonate suspected for neuropathic bladder dysfunction

Toddler and school age

Puberty and adolescence

The wet child with paralytic sphincter

UDS: Specific pitfalls

Ultrasound, DMSA scan, and spinal MRI

CHAPTER 27: Medical management of the neurogenic bladder

Lower Urinary Tract Physiology

Medical management of the overactive bladder

CHAPTER 28: Treatment of constipation and fecal incontinence

Medical management

Surgical options.

Surgical technique: In situ appendicocecostomy

MACE options when the appendix is absent

Minimally invasive MACE procedures

Left colon MACE procedure

Minimally invasive percutaneous cecostomy tube

Enema protocols for MACE

Outcomes and complications of the MACE procedure

CHAPTER 29: Neuromodulation for neurogenic bladder in pediatric spinal dysraphism

IVES (Intravesical Electrical Stimulation)

TENS

PTNS

Sacral nerve stimulation

Summary

CHAPTER 30: Botulinum toxin in the treatment of neuropathic lower urinary tract dysfunction

Pharmacology

Clinical application

BTX injection technique

CHAPTER 31: The surgical management of the neurogenic bladder

Evaluation of the patient with NGB

Surgical reconstruction: General principles

CHAPTER 32: Surgery for bowel dysfunction

Antegrade continence enemas

Cecostomy

Diversion

Colonic resection

CHAPTER 33: Neurological surgery for neurogenic bladder dysfunction

Tethered spinal cord

Brain anomalies

Other spinal cord lesions and vertebral anomalies

Index

End User License Agreement.

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

Description based on print version record.

ISBN:

9781118814758

1118814754

9781118814789

1118814789

9781118814772

1118814770

OCLC:

932334498