Voiding postponement in children-a systematic review

European Child & Adolescent Psychiatry
Alexander von GontardM Equit

Abstract

Voiding postponement (VP) has been defined as a habitual postponement of micturition using holding maneuvers. VP can represent both a symptom, as well as a condition. As divergent definitions are used internationally, the aim was to review the current state of knowledge on VP and provide recommendations for assessment, diagnosis and treatment. A Scopus and a Pubmed search was conducted, entering the terms 'voiding postponement' without any restrictions or specifications. Other publications relevant to the topic were added. VP can represent a symptom in healthy children. As a condition, VP in combination with nocturnal enuresis (NE) is a subtype of non-monosymptomatic NE. Most studies have focused on daytime urinary incontinence (DUI) with VP, or more aptly termed voiding postponement incontinence (VPI). It is a behaviorally defined syndrome, i.e., by the habitual deferral of micturition and DUI. VPI is associated with a low micturition frequency, urgency and behavioral problems. The most common comorbid disorder is oppositional defiant disorder (ODD). VP as a symptom and VPI as a condition should be differentiated. VPI is a common disorder with many associated problems and disorders. Urotherapy and timed voiding are the main tr...Continue Reading

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Citations

May 15, 2016·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Mimi Tatlow-GoldenOrla Doyle
Sep 28, 2017·European Child & Adolescent Psychiatry·S K SchäferM Equit
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Feb 2, 2018·Neurourology and Urodynamics·Apostolos ApostolidisAlexander von Gontard
Jun 5, 2019·Deutsches Ärzteblatt International·Alexander von Gontard, Eberhard Kuwertz-Bröking
Apr 12, 2021·Journal of Pediatric Urology·Samuel Gomes CardosoUbirajara Barroso

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