|Authors||McKenna LS, McKenna PH|
|Journal||J Wound Ostomy Continence Nurs Volume: 31 Issue: 6 Pages: 351-6|
|Publish Date||2004 Nov-Dec|
Incontinence affects 20%-30% of children. Historically, evaluation of voiding problems in children has involved complete urodynamic studies and treatment based primarily on bladder findings and anticholinergic medications. Unfortunately, success with this approach has been poor. This article describes new advances in our understanding of the causes of nonneurologic pediatric incontinence and its associated problems and provides new treatment strategies to manage these patients. A strategy incorporating an escalating approach to evaluation and treatment is the cornerstone of this approach. Minimizing the routine use of invasive studies and medication is the result.