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Giggle incontinence is more common in children than adults, typically appearing at ages 5 to 7, [2] and is most common in girls near the onset of puberty [3] but can also happen to boys/males. The condition tends to improve with age, with fewer episodes during the teenage years, [ 2 ] but may persist into the teenage years or adulthood. [ 3 ]
A baby's bladder fills to a set point, then automatically contracts and empties. As the child gets older, the nervous system develops. The child's brain begins to get messages from the filling bladder and begins to send messages to the bladder to keep it from automatically emptying until the child decides it is the time and place to void.
Nocturnal enuresis usually presents with voiding of urine during sleep in a child for whom it is difficult to wake. [7] [8] It may be accompanied by bladder dysfunction during the day which is termed non-mono symptomatic enuresis. [9] Day time enuresis, also known as urinary incontinence, may also be accompanied by bladder dysfunction.
Enuresis is defined as the involuntary voiding of urine beyond the age of anticipated control. Both of these conditions can occur at the same time, although many children with nighttime wetting will not have wetting during the day. Children with daytime wetting may have frequent urination, have urgent urination or dribble after urinating.
In children UTIs are associated with vesicoureteral reflux (an abnormal movement of urine from the bladder into ureters or kidneys) and constipation. [28] Persons with spinal cord injury are at increased risk for urinary tract infection in part because of chronic use of catheter, and in part because of voiding dysfunction. [52]
It is also known medically as micturition, [4] voiding, uresis, or, rarely, emiction, and known colloquially by various names including peeing, weeing, pissing, and euphemistically number one. The process of urination is under voluntary control in healthy humans and other animals , but may occur as a reflex in infants, some elderly individuals ...
A meta-analysis on the influence of voiding position on urodynamics in males with lower urinary tract symptoms showed that in the sitting position, the residual urine in the bladder was significantly reduced, the maximum urinary flow was increased, and the voiding time was decreased. For healthy males, no influence was found on these parameters ...
The child should participate in morning cleanup as a natural, nonpunitive consequence of wetting. This method is particularly helpful in younger children (<8 years) and will achieve dryness in 15-20% of the patients. [63] [64] Waiting: [65] Almost all children will outgrow bedwetting. For this reason, urologists and pediatricians frequently ...