International Children’s Continence Society

The American Academy of Child and Adolescent Psychiatrists and the International Children s Continence Society (ICCS) have published practice guidelines for the assessment and treatment of pediatric enuresis.24,25... 

FIGURE 50-1. Preliminary (unvalidated) enuresis protocol proposed by the International Children s Continence Society (2004). DDAVP, desmopressin. 

The classification of the International Children s Continence Society should be used to eliminate confusion, to facilitate and enable comparative research and metaanalyses. This classification recognizes two main dysfunctions overactive bladder or unstable bladder (urge syndrome) and dysfunctional voiding. The common denominator of lower urinary tract dysfunction is bladder sphincter discoordination leading to chronic high intravesical pressure with resulting negative consequences for the urinary tract. 

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