Дисфункция нижних мочевыводящих путей у детей в психоневрологической практике

Lower urinary tract dysfunction in children in neuropsychiatric practice

Lower urinary tract dysfunction in children is a complex set of disorders affecting not only physiological, but also neuropsychiatric aspects of development. Understanding the pathophysiological mechanisms underlying overactive bladder and other forms of lower urinary tract dysfunction allows for a more effective approach to the diagnosis and treatment of these conditions. It is important to remember that the delay in the development of the nervous regulation of urination, the peculiarities of brain functioning and concomitant psychological factors play a key role in the onset and maintenance of symptoms of lower urinary tract dysfunction. The key point in the successful management of children with urinary dysfunction is an integrated approach that takes into account all factors affecting the function of the bladder and intestines, as well as the psycho-emotional state of the child. Careful history collection, detailed examination and adequate interpretation of the results make it possible to avoid erroneous diagnoses and prescribe effective treatment. Timely detection and medical correction of not only urological, but also neuropsychiatric problems in children with urinary dysfunction is the key to improving the child’s quality of life and preventing the development of long-term psychological and social consequences. Underestimation of psychoemotional factors can significantly reduce the effectiveness of treatment and lead to the chronization of the process. Further research in this area is needed to develop more effective and personalized approaches to the treatment of urinary dysfunction in children, taking into account both physiological and psychosocial aspects. © © Быкова ОВ, Богдан ИЯ, Алексеева МВ, 2025