Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the 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 stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.

Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the 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 stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.

Elimination disorders (such as daytime wetting or soiling) are common in childhood. This manual presents a new and effective training program for children and adolescents with nocturnal enuresis, daytime urinary incontinence, fecal incontinence, or a combination of these forms, who do not respond to standard measures. After discussing the different types of incontinence and comorbid psychological disorders, the expert team of authors (a psychotherapist, a pediatric nurse, a psychologist, and a psychiatrist) describe a 7-9 session program of bladder and bowel training, primarily for use in groups but which can also be used with individuals. The training encompasses psychoeducation, operant reinforcement, emotion regulation, and relaxation techniques – all presented in a "child-friendly", playful manner. The manual itself is accompanied by a wealth of colorful, attractive, printable worksheets and other educational materials suitable for youngsters, which cover topics such as healthy drinking and eating habits, stress and emotion regulation, body perception, toilet training, and relaxation techniques. This manual is a superb resource for pediatricians, specialists in child and adolescent psychiatry, psychologists, nurses, urotherapists, and all other professionals looking for well-founded, hands-on guidance on treating children and adolescents with incontinence.

A comprehensive review of enuresis, such as this, has long been overdue. In this book attention is given to bladder control, reflecting current interest in developmental aspects of paediatrics, and to enuresis, reflecting the need to relieve a common cause of unhappiness. The topics discussed include how most children become dry by age four or five, and why a minority do not; why these children go on wetting their beds, and why some start doing so after a period of dryness. The prevalence of bedwetting in younger children varies curiously in different countries. Treatment, by explanation, by drugs and by the buzzer, is well covered in practical detail. Previously published articles are reviewed. In too many it has been difficult to determine whether authors are consistently writing about day-time or night-time, life-long or acquired, wetting. Emphasis is given to papers in which soundly based research is clearly reported. Though this book was inspired by and derives from a recent International Colloquium at Newcastle, it is anything but a report of that Colloquium. To extend coverage and avoid repetition, a number of chapters have been specially written, and papers have been re-written, fused or omitted; several up-to-date, comprehensive and authoritative reviews have been included. Whether readers are community, hospital or family doctors, or psychologists, they can enjoy criticising and evaluating the at times differing views put forward, and can synthesise their own new and better conclusions. The editors have aimed to clear the way for further research by identifying clearly what is known and posing questions. Equally, however, it is hoped that this volume will promote a deeper and better understanding of bladder control and enuresis, and enable doctors who use it for reference to give more effective help to children with wetting problems.

Proven, practical advice for treating and preventing potty problems.

Solely nocturnal enuresis can be treated with an alarm device from the age of 5 years onwards.In all children with daytime enuresis, a urine specimen is examined, possible constipation is treated and instructions are given for regular, sufficiently frequent urination. If the symptom persists, the child is referred to a paediatrician.