Pediatric Voiding Dysfunction: Definitions and Management

TL;DR

This paper reviews how pediatric voiding dysfunction presents and is managed, emphasizing the importance for pediatric providers to recognize and treat it.

Contribution

The paper provides a comprehensive overview of the definitions and management strategies for pediatric voiding dysfunction.

Findings

Voiding dysfunction in children can lead to serious medical issues, including impaired renal function.

Behavioral changes are typically the first treatment approach before pharmacologic interventions.

Voiding dysfunction presentations vary widely and are often associated with constipation.

Abstract

The prevalence of lower urinary tract symptoms or voiding dysfunction is significant in pediatric patients. Severe voiding dysfunction can cause serious medical issues, including impacting renal function. This review article aims to help provide an understanding of the variable presentations of voiding dysfunction and the different methods of treatment in children. The symptoms vary widely and can often be associated with constipation. Etiologies vary from behavioral/habits to anatomic to psychological or neurologic. Occasionally, imaging is used in the workup, with ultrasound being the most common. Behavior changes are often employed first in treatment before introducing pharmacotherapies or other interventions. Given the variety of presentations and severities, along with the significant number of children who present with lower urinary tract complaints, it is important for all pediatric providers to be familiar with this common diagnosis and some management options.