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The Treatment of Lower Urinary Tract Dysfunction via Treatment of Obsessive-compulsive Disorder in a Pediatric Patient

Published:December 02, 2022DOI:https://doi.org/10.1016/j.urology.2022.11.028
      Lower urinary tract dysfunction in the pediatric patient can be associated with mental health issues, such as anxiety and obsessive-compulsive disorder (OCD). In fact, 20%-40% of pediatric patients with daytime urinary incontinence have concomitant diagnosis of mental health disease.
      • Von Gontard A
      • Baeyens D
      • Van Hoecke E
      • Warzak WJ
      • Bachmann C.
      Psychological and psychiatric issues in urinary and fecal incontinence.
      Here, we present a case of lower urinary tract dysfunction in the setting of OCD, with symptom resolution following appropriate treatment of OCD. This case report demonstrates the importance of clinicians including mental health disorders in the differential of children with voiding dysfunction.
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      References

        • Von Gontard A
        • Baeyens D
        • Van Hoecke E
        • Warzak WJ
        • Bachmann C.
        Psychological and psychiatric issues in urinary and fecal incontinence.
        J Urol. 2011; 185: 1432-1436https://doi.org/10.1016/j.juro.2010.11.051
        • Kajiwara M
        • Inoue K
        • Usui A
        • Kurihara M
        • Usui T.
        The micturition habits and prevalence of daytime urinary incontinence in Japanese primary school children.
        J Urol. 2004; 171: 403-407
        • Farhat W
        • Bagli DJ
        • Capolicchio G
        • O'Reilly S
        • Merguerian PA
        • McLorie GA.
        The dysfunctional voiding scoring system: Quantitative standardization of dysfunctional voiding symptoms in children.
        J Urol. 2000; 164: 1011-1015
        • Bahali K
        • Ipek H
        • Uneri OS.
        Methylphenidate and atomoxetine for treatment of nocturnal enuresis in a child with attention-deficit hyperactivity disorder.
        Eur Child Adolesc Psychiatry. 2013; 22: 649-650https://doi.org/10.1007/s00787-013-0414-x
        • Franco I
        • Arlen AM
        • Collett-Gardere T
        • Zelkovic PF.
        Imipramine for refractory daytime incontinence in the pediatric population.
        J Pediatr Urol. 2018; 14: 58.e1-58.e5https://doi.org/10.1016/j.jpurol.2017.08.016
        • Holstege G.
        The emotional motor system and micturition control.
        Neurourol Urodyn. 2010; 29: 42-48https://doi.org/10.1002/nau.20789
        • Bergmann M
        • Corigliano T
        • Ataia I
        • et al.
        Childhood extraordinary daytime urinary frequency-a case series and a systematic literature review.
        Pediatr Nephrol. 2009; 24: 789-795https://doi.org/10.1007/s00467-008-1082-9
        • Wang R
        • Van den Heuvel M
        • Rickard M
        • et al.
        Neurodevelopmental and psychiatric disorders in pediatric bladder and bowel dysfunction.
        J Pediatr Urol. 2021; 17: 450.e1-450.e6https://doi.org/10.1016/j.jpurol.2021.03.032