Daytime urinary incontinence: a chronic and comorbid condition of childhood

In the article ‘‘Clinical course of a cohort of children with non-neurogenic daytime urinary incontinence symptoms followed at a tertiary center,’’ Lebl et al. characterize a cohort of 50 children attending their center over 12 years with the primary symptom of functional daytime urinary incontinence (DUI). They conclude that a subgroup of children with clinical characteristics of an overactive bladder (OAB), without associated comorbidities of urinary tract infection (UTI) and normal urinary tract ultrasound and uroflowmetry, may be treated without further invasive studies. Mean follow up time was 4.7 years and one-third of the group were resistant to treatment. With regards to the characteristics of the group, their demographics, symptomatology, and co-morbidities are broadly similar to other reported groups in tertiary settings from around the world. Daytime urinary incontinence is known to be more common in girls in contrast to nocturnal enuresis and fecal incontinence, which are more common in boys. The age of presentation in this cohort (mean 7.9 years) is two to three years after the child is expected to be dry. A large population cohort in the United Kingdom followed from birth to young adulthood allows the

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