Скачать или смотреть Voiding Dysfunction & Urinary Incontinence in Children | Dr. Amrish Vaidya

Voiding Dysfunction is a condition where a child does not pass urine in a typical manner for their age or developmental stage. This dysfunction can lead to urinary incontinence, meaning the child might have difficulty controlling urination, which is abnormal for their age. One of the most common causes of voiding dysfunction in children is constipation, which often exacerbates the problem by putting pressure on the bladder. Addressing these issues early is crucial for maintaining the child's urinary and overall health.

In this video, Dr. Amrish Vaidya, Senior Consultant - Paediatric General Surgeon & Urologist at SRCC Children's Hospital, Mumbai, discusses the causes, diagnosis, and treatment options for voiding dysfunction and urinary incontinence in children. He emphasizes the importance of identifying and managing the condition to prevent further complications.

What is Voiding Dysfunction in Children?
Voiding dysfunction refers to the inability of a child to pass urine in a regular and coordinated way, affecting both bladder and bowel control. The causes of voiding dysfunction can vary, but common factors include:

Delayed bladder maturation: The bladder may not be developed enough to hold and empty urine efficiently.
Constipation: A full bowel can put pressure on the bladder, leading to incontinence or difficulty passing urine.
Neurological issues: Problems with the nervous system can affect bladder control.
Psychological factors: Stress or trauma can sometimes contribute to voiding dysfunction.
What is Bladder and Bowel Dysfunction?
Bladder and bowel dysfunction often occur together in children with voiding dysfunction. This means that both the bladder (responsible for storing and releasing urine) and the bowel (responsible for waste elimination) may not function properly, leading to issues like bedwetting, urinary incontinence, constipation, and soiling.

Why is Treatment of Voiding Dysfunction Important?
If left untreated, voiding dysfunction can lead to long-term complications, including:

Urinary tract infections (UTIs)
Kidney damage
Chronic constipation
Social and emotional distress for the child
Early diagnosis and treatment are crucial to prevent these complications and ensure the child leads a healthy, normal life.

How is Voiding Dysfunction Diagnosed?
Diagnosis of voiding dysfunction typically involves:

Medical history review: The doctor will ask about the child’s urinary patterns, bowel movements, and any other relevant symptoms.
Physical examination: To check for signs of bladder or bowel problems.
X-rays: These can help identify any structural issues that may be contributing to the problem.
Urodynamic tests: These tests measure how well the bladder and urethra store and release urine. They help in identifying issues related to the bladder's ability to hold or empty urine.
What is a Urodynamic Test?
A urodynamic test is a procedure that measures how well the urinary system functions. It involves the filling of the bladder with a sterile liquid while monitoring the pressure and volume to understand how the bladder and urethra are working. This test helps doctors understand if there are any underlying issues causing voiding dysfunction.

Treatment of Voiding Dysfunction
Treatment for voiding dysfunction can vary depending on the underlying cause and severity, but may include:

Lifestyle changes: Encouraging regular bathroom visits, managing constipation, and ensuring proper hydration.
Medications: To help with bladder control and bowel movements.
Bladder training: Techniques to help the child learn to hold urine longer and establish regular urination habits.
Biofeedback: A therapy that helps children learn how to control their bladder muscles.
Surgical options: In severe cases, surgery may be considered to correct anatomical issues.
For Video Consultation with Dr. Amrish Vaidya
If you suspect your child may have voiding dysfunction or urinary incontinence, Dr. Amrish Vaidya can help. To schedule a video consultation with him, visit: https://video.narayana.health/home

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