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Urinary and Fecal Incontinence

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Table of Contents

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: Knowledge Check, Goal Analysis, Outlook 5.8 Bowel Training Session 1: Problem and Goal Analysis, Pathophysiology of Fecal Incontinence 5.9 Bowel Training Session 2: Diet and Exercise Chapter 6: Evaluation of the Treatment 6.1 Sample 6.2 Method 6.3 Results 6.4 Conclusion 6.5 Final Remarks References Appendix

Promotional Information

This book is easy-to-read and provides a good overview of bladder and bowel dysfunction in children. ... The combination of detailed and accessible information and the very useful CD-ROM makes it easy to start the training programme at any facility where children suffering from complex bladder and bowel dysfunction are treated. [A]n excellent book and it will be of great clinical value for healthcare professionals treating this group of children, in particular urotherapists, nurses, psychologists and psychiatrists."; Luise Borch, PhD, Institut for Klinisk Medicin - Borneafdeling A, SKS, DK, in Acta Paediatrica, 2016; A timely and needed addition to the literature , covering not only treatment but also all investigation aspects of incontinence ... This is the only training program for children and adolescents with urinary and fecal incontinence that has been published in English during the last few decades. The intended audience includes psychologists, pediatricians, and other health care providers.;The treatment can be applied in individual or group format. All of the sessions are discussed in detail, approached in practical way [with] a range of training materials such as tables, figures, recording charts, and graphs. Because of this practical approach and the laymen's terms used, health care providers could also easily and explicitly convey the therapeutic techniques and goals to the parents. A major asset is the CD preloaded with the documents for each session.;Marios Constantinou, Myria Ioannou, in PsycCRITIQUES (May 25, 2015), 60 (21)

About the Author

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


"In this manual ... experts in paediatric incontinence present a training programme intended for children and adolescents suffering from elimination disorders. This manual is a compilation of the long experience of the authors and provides the reader with an exhaustive overview of elimination disorders. Many pediatricians and pediatric urologists will find useful information." Prof. Paul Meria, Paris, FR, in European Urology Today, Dec. 2014 "The training program in this manual by the internationally acclaimed expert Alexander von Gontard and his team addresses a problematic and often overlooked group of children who need, and often do not get, our help. The book provides hard evidence where such is available and deep and thorough experience where it is not." Tryggve Neveus; Associate Professor, Senior Consultant in Paediatric Nephrology, Uppsala University Children's Hospital, Sweden; former Secretary General of the International Children's Continence Society "This manual provides a concise and excellent overview of bowel and bladder dysfunction in children and a compilation of years of clinical experience that is shared so practically and generously. It is rare to find information that is as readily and immediately applicable with accompanying resources as in this book. You just know it is going to revitalise your practice!" Janet W. Chase; Doctor of Physiotherapy, Consultant Physiotherapist, Victorian Children's Continence Clinic, Cabrini Hospital, Melbourne, Australia "This is an excellent reference manual that can be adapted to many countries and cultures. I applaud the authors' efforts to achieve a balanced, informative, and comprehensive communication." Stuart Bauer; Department of Urology, Boston Children's Hospital; Professor of Surgery, Harvard Medical School, Boston, MA, USA;

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