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...

Full description

Saved in:
Bibliographic Details
Published in:Pediatrics and neonatology 2010-10, Vol.51 (5), p.300-302
Main Authors: Wan, Kong-Sang, Liu, Nai-Hsuan, Liu, Chih-Kuang, Hwang, I-Zen
Format: Article
Language:English
Subjects:
Bacterial diseases
Bacterial diseases of the urinary system
Biological and medical sciences
Child
children
Female
General aspects
Human bacterial diseases
Humans
Infectious diseases
Internal Medicine
Medical sciences
Nephrology. Urinary tract diseases
Pediatrics
psychogenic urinary retention
Psychotherapy
Urinary Catheterization
Urinary Retention - etiology
Urinary Retention - therapy
Urinary system involvement in other diseases. Miscellaneous
urinary tract infection
Urinary Tract Infections - complications
Urinary tract. Prostate gland
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1875-9572
DOI:10.1016/S1875-9572(10)60058-7