Urinary and Fecal Incontinence

Preface Introduction 1 Theoretical Background Chapter 1: Incontinence During Childhood and Adolescence 1.1 Nocturnal Enuresis 1.1.1 Definition and Classification 1.1.2 Subtypes . 1.1.3 Prevalence 1.1.4 Differential Diagnoses and Comorbid Disorders 1.1.5 Etiology 1.2 Daytime Urinary Incontinence 1.2.1 Definition and Classification 1.2.2 Subtypes 1.2.3 Prevalence 1.2.4 Differential Diagnoses and Comorbid Disorders 1.2.5 Comorbid Psychological Disorders 1.2.6 Etiology 1.3 Fecal Incontinence (Encopresis) 1.3.1 Definition and Classification 1.3.2 Subtypes 1.3.3 Prevalence 1.3.4 Differential Diagnoses and Comorbid Disorders 1.3.5 Etiology Chapter 2: Assessment 2.1 Standard Diagnostic Assessment 2.1.1 History 2.1.2 Development and Family History 2.1.3 The 48-Hour Bladder Diary 2.1.4 Physical Examination 2.1.5 Sonography/Urinalysis 2.2 Extended Assessment for Complex Elimination Disorders 2.2.1 Uroflowmetry 2.2.2 Bacteriology 2.2.3 Further Pediatric and Urologic Diagnostic Steps 2.3 Psychological Tests Chapter 3: Treatment of Incontinence 3.1 General Treatment Principles 3.2 Treatment of Fecal Incontinence 3.3 Treatment of Daytime Urinary Incontinence 3.3.1 Urge Incontinence 3.3.2 Voiding Postponement 3.3.3 Dysfunctional Voiding 3.4 Treatment of Nocturnal Enuresis 3.5 Urotherapy as a Treatment for Complex Elimination Disorders 3.5.1 Definition 3.5.2 Scientific Evidence 2 Therapy Manual Chapter 4: Description and Structure of the Manual 33 4.1 Development of the Manual 4.2 Formal Aspects of the Training 4.3 Contents of the Sessions 4.4 Including the Parents 4.5 Application as Individual Training 4.6 Application to Adolescents Chapter 5: How to Conduct the Sessions 5.1 Session 1: Introduction, Defining Problems and Goals 5.2 Session 2: Anatomy and Physiology 5.3 Session 3: Pathophysiology of Wetting and Coping With Stress 5.4 Session 4: Drinking 5.5 Session 5: Going to the Toilet, Hygiene, and Constipation 5.6 Session 6: Emotions, Body and Bladder Perception 5.7 Session 7:

Monika Equit; PhD; Psychological psychotherapist and researcher, Department of Child and Adolescent Psychiatry, Saarland University Hospital, Saarbruecken, Germany Heike Sambach; -; Pediatric nurse and urotherapist, specialist outpatient clinic for elimination disorders, Department of Child and Adolescent Psychiatry, Saarland University Hospital, Saarbruecken, Germany Justine Niemczyk; -; Clinical psychologist, specialist outpatient clinic for elimination disorders, Department of Child and Adolescent Psychiatry, Saarland University Hospital, Saarbruecken, Germany Alexander von Gontard; MD, Professor; Board certified child and adolescent psychiatrist, pediatrician, psychotherapist; Chair and head of the Department of Child and Adolescent Psychiatry , Saarland University Hospital, Saarbruecken, Germany