This article is a standardization document of the International Children's Continence Society (ICCS); it represent a consensus of ICCS on the management of pediatric daytime urine incontinence (DUI).
This document was designed and written by a multi-disciplinary core group of authors appointed by the ICCS' board.
Based on evidence of studies and the experience of experts, the treatment guideline of DUI is assembled in this standardization document. Guidelines and the algorithm of management include non-pharmacological treatment (urotherapy), as well as the pharmacological therapy and other modalities that are presented for DUI in general, as along with recommendations for individual conditions.
The final document is not a systematic literature review. It includes relevant research when available as well as experts' opinion on the current understanding of daytime incontinence in children. This document illustrates that specific treatment of DUI based on an exact diagnosis is effective. The mainstay of treatment is urotherapy, but a combination of treatment modalities is often necessary. Neurourol. Urodynam. © 2015 Wiley Periodicals, Inc.
Neurourology and urodynamics. 2015 Oct 16 [Epub ahead of print]
Shang-Jen Chang, Erik Van Laecke, Stuart B Bauer, Alexander von Gontard, Darius Bagli, Wendy F Bower, Catherine Renson, Akihiro Kawauchi, Stephen Shei-Dei Yang
Division of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan. , Department of Urology, Section of Pediatric Urology, Ghent University, Ghent, Belgium. , Department of Urology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts. , Department of Child and Adolescent Psychiatry, Saarland University Hospital, Germany. , Division of Urology, Hospital for Sick Children and Department of Surgery, University of Toronto, Toronto, Ontario. , Department of Rehabilitation, The Royal Melbourne Hospital, Melbourne, Australia. , Department of Urology, Section of Pediatric Urology, Ghent University, Ghent, Belgium. , Department of Urology, Shiga University of Medical Science, Otsu, Japan. , Division of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.