Treatment of daytime urinary incontinence: A standardization document from the International Children's Continence Society

• Published in: Neurourology and urodynamics Vol. 36; no. 1; pp. 43 - 50
• Main Authors: Chang, Shang‐Jen, Van Laecke, Erik, Bauer, Stuart B., von Gontard, Alexander, Bagli, Darius, Bower, Wendy F., Renson, Catherine, Kawauchi, Akihiro, Yang, Stephen Shei‐Dei
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01-01-2017
• Subjects: Adrenergic alpha-Antagonists - therapeutic use; Algorithms; Botulinum Toxins - therapeutic use; Child; Consensus; Conservative Treatment; daytime incontinence; Humans; Muscarinic Antagonists - therapeutic use; non‐pharmacological treatment; pharmacological treatment; Reference Standards; Urinary Incontinence - drug therapy; Urinary Incontinence - etiology; Urinary Incontinence - therapy; Urinary Incontinence, Urge - drug therapy; Urinary Incontinence, Urge - therapy; urotherapy; non-pharmacological treatment; pharmacological treatment; urotherapy; daytime incontinence; child
• ISSN: 0733-2467; 1520-6777
• DOI: 10.1002/nau.22911

Purpose
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).
Materials and Methods
This document was designed and written by a multi‐disciplinary core group of authors appointed by the ICCS’ board.
Results
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.
Conclusion
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. 36:43–50, 2017. © 2015 Wiley Periodicals, Inc.