Psychogenic Urinary Retention in Children: A Case Report
Psychogenic urinary retention occurs relatively infrequently in children and is less common than in adults. The influence of psychogenic factors on voiding generally results in an irritative syndrome, but rarely in urinary retention. A definitive diagnosis is established by excluding other pathologi...
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| Format: | Article |
| Language: | English |
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Elsevier
2010-10-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957210600587 |
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| author | Kong-Sang Wan Nai-Hsuan Liu Chih-Kuang Liu I-Zen Hwang |
| author_facet | Kong-Sang Wan Nai-Hsuan Liu Chih-Kuang Liu I-Zen Hwang |
| author_sort | Kong-Sang Wan |
| collection | DOAJ |
| description | Psychogenic urinary retention occurs relatively infrequently in children and is less common than in adults. The influence of psychogenic factors on voiding generally results in an irritative syndrome, but rarely in urinary retention. A definitive diagnosis is established by excluding other pathological conditions. Evaluation includes urine culture, renal echography, spine magnetic resonance imaging, voiding cysto-urethrography, intravenous pyelography, and uroflowmetry. Here, we report on a 6-year-old girl with a 1-month history of voiding difficulty. Urology studies, including urine culture, revealed Escherichia coli, which was not present in preadmission urine cultures. Renal ultrasound and radiological images showed no gross abnormalities or vesicoureteral reflux, but uroflowmetry showed a low flow rate with residual urine. The results of imaging studies and pediatric psychiatric consultation led to a diagnosis of psychogenic urinary retention combined with urinary tract infection. Urinary rehabilitation included intermittent catheterization, bladder training, and supportive psychotherapy, after which the patient recovered and was discharged. |
| format | Article |
| id | doaj-art-5367accec1d24dc6802f23d8accd54af |
| institution | DOAJ |
| issn | 1875-9572 |
| language | English |
| publishDate | 2010-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-5367accec1d24dc6802f23d8accd54af2025-08-20T03:18:06ZengElsevierPediatrics and Neonatology1875-95722010-10-0151530030210.1016/S1875-9572(10)60058-7Psychogenic Urinary Retention in Children: A Case ReportKong-Sang Wan0Nai-Hsuan Liu1Chih-Kuang Liu2I-Zen Hwang3Department of Pediatrics, Taipei City Hospital, Renai Branch, Taipei, TaiwanDepartment of Family Medicine, Taipei City Hospital, Renai Branch, Taipei TaiwanDepartment of Urology, Taipei City Hospital, Zhonxing Branch, Taipei, TaiwanDepartment of Psychiatry, Taipei City Hospital, Renai Branch, Taipei, TaiwanPsychogenic urinary retention occurs relatively infrequently in children and is less common than in adults. The influence of psychogenic factors on voiding generally results in an irritative syndrome, but rarely in urinary retention. A definitive diagnosis is established by excluding other pathological conditions. Evaluation includes urine culture, renal echography, spine magnetic resonance imaging, voiding cysto-urethrography, intravenous pyelography, and uroflowmetry. Here, we report on a 6-year-old girl with a 1-month history of voiding difficulty. Urology studies, including urine culture, revealed Escherichia coli, which was not present in preadmission urine cultures. Renal ultrasound and radiological images showed no gross abnormalities or vesicoureteral reflux, but uroflowmetry showed a low flow rate with residual urine. The results of imaging studies and pediatric psychiatric consultation led to a diagnosis of psychogenic urinary retention combined with urinary tract infection. Urinary rehabilitation included intermittent catheterization, bladder training, and supportive psychotherapy, after which the patient recovered and was discharged.http://www.sciencedirect.com/science/article/pii/S1875957210600587childrenpsychogenic urinary retentionurinary tract infection |
| spellingShingle | Kong-Sang Wan Nai-Hsuan Liu Chih-Kuang Liu I-Zen Hwang Psychogenic Urinary Retention in Children: A Case Report Pediatrics and Neonatology children psychogenic urinary retention urinary tract infection |
| title | Psychogenic Urinary Retention in Children: A Case Report |
| title_full | Psychogenic Urinary Retention in Children: A Case Report |
| title_fullStr | Psychogenic Urinary Retention in Children: A Case Report |
| title_full_unstemmed | Psychogenic Urinary Retention in Children: A Case Report |
| title_short | Psychogenic Urinary Retention in Children: A Case Report |
| title_sort | psychogenic urinary retention in children a case report |
| topic | children psychogenic urinary retention urinary tract infection |
| url | http://www.sciencedirect.com/science/article/pii/S1875957210600587 |
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