Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old.

Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem.  All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem.

The outstanding editor team led by Professor Israel Franco, one of the worlds leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise.  Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout.

Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.

EDITOR AFFILIATIONS

Israel Franco, MD, Professor of Urology, New York Medical College, Director of Pediatric Urology, Maria Fareri Children's Hospital, Valhalla, New York, USA

Paul F. Austin, M.D, F.A.A.P., Director of Pediatric Urology Research, Associate Professor of Urologic Surgery, St. Louis Children's Hospital, Washington University School of Medicine, USA

Stuart Bauer, MD, Professor of Surgery (Urology), Harvard Medical School, Senior Associate, Department of Urology, Boston Children's Hospital, Boston, USA

Prof. Dr. Alexander von Gontard, Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg, Germany

Yves Homsy MD, Clinical Professor of Urology, University of South Florida, Tampa, Tampa, FI

List of contributors xi

Preface xv

Section 1: Pathophysiology of bowel and bladder dysfunction
Israel Franco

1 Neurophysiology of voiding 3
Oreoluwa Ogunyemi and HsiYang Wu

2 Neurophysiology of defecation 15
Cecilie Ejerskov and Charlotte Siggaard Rittig

3 Functional brain imaging in bowel and bladder control 21
Israel Franco

Section 2: Epidemiological aspects of bowel and bladder dysfunction
Alexander von Gontard

4 The epidemiology of childhood incontinence 37
Anne J. Wright

5 Quality of life factors in bladder and bowel dysfunction 61
Eliane Garcez da Fonseca

6 Psychological aspects in bladder and bowel dysfunction 67
Alexander von Gontard

7 Neuropsychiatric disorders and genetic aspects of bowel or bladder dysfunction 73
Israel Franco

Section 3: Evaluation of bowel and bladder dysfunction
Yves Homsy

8 Urodynamics in the pediatric patient 91
Beth A. Drzewiecki and Stuart B. Bauer

9 Uroflowmetry and postvoid residual urine tests in incontinent children 99
Stephen SheiDei Yang and ShangJen Chang

10 Evaluation of the child with voiding dysfunction 107
Yves Homsy

11 Evaluation of constipation and fecal incontinence 121
Marc A. Benninga

Section 4: Treatments of functional bowel and bladder dysfunction
Paul F. Austin

12 Implementation of urotherapy 133
Wendy F. Bower and Janet W. Chase

13 The concept of physiotherapy for childhood BBD 139
Janet W. Chase and Wendy F. Bower

14 Biofeedback for the treatment of functional voiding problems 145
Ann Raes and Catherine Renson

15 Pharmacotherapy of the child with functional incontinence and retention 153
Paul F. Austin and Israel Franco

16 Treatment of functional constipation and fecal incontinence 163
Vera LoeningBaucke and Alexander Swidsinski

17 Peripheral tibial nerve stimulation therapy for the treatment of functional voiding problems 171
Mario De Gennaro and Maria Luisa Capitanucci

18 Sacral nerve stimulation therapy for the treatment of functional voiding problems 175
Alonso Carrasco Jr, Moira E. Dwyer, and Yuri E. Reinberg

19 Superficial stimulation therapy for the treatment of functional voiding problems 183
Ubirajara Barroso, Jr

20 Botulinum toxin in the treatment of the functional bladder 189
LuitzenAlbert Groen and Piet Hoebeke

21 Psychological management of BBD 201
Monika Equit and Alexander von Gontard

Section 5: Nocturnal enuresis
Israel Franco

22 Pathophysiology of nocturnal enuresis 209
Soren Rittig and Konstantinos Kamperis

23 Evaluation of the enuretic child 221
Tryggve Neveus

24 Management of monosymptomatic nocturnal enuresis (enuresis) 227
Johan Vande Walle

25 Psychological aspects in evaluation and management of nocturnal enuresis (NE) 245
Dieter Baeyens and Alexander von Gontard

Section 6: Neurogenic bladder and bowel dysfunction
Stuart Bauer

26 Diagnostic evaluation in children with neurogenic bladder 257
Tom P.V.M. de Jong, Aart J. Klijn, Pieter Dik and Rafal Chrzan

27 Medical management of the neurogenic bladder 263
Paul F. Austin and Stuart B. Bauer

28 Treatment of constipation and fecal incontinence: Neuropathic 273
Mark P. Cain

29 Neuromodulation for neurogenic bladder in pediatric spinal dysraphism 281
Elizabeth B. Yerkes and William E. Kaplan

30 Botulinum toxin in the treatment of neuropathic lower urinary tract dysfunction 293
Paul F. Austin and Israel Franco

31 The surgical management of the neurogenic bladder 299
Elias Wehbi and Antoine E. Khoury

32 Surgery for bowel dysfunction 309
Terry L. Buchmiller

33 Neurological surgery for neurogenic bladder dysfunction 317
Michael S. Park and Gerald F. Tuite

Index 327