Daytime urinary incontinence: a chronic and comorbid condition of childhood.

n the article ‘‘Clinical course of a cohort of children with on-neurogenic daytime urinary incontinence symptoms folowed at a tertiary center,’’ Lebl et al.1 characterize a ohort of 50 children attending their center over 12 years ith the primary symptom of functional daytime urinary ncontinence (DUI). They conclude that a subgroup of chilren with clinical characteristics of an overactive bladder OAB), without associated comorbidities of urinary tract nfection (UTI) and normal urinary tract ultrasound and roflowmetry, may be treated without further invasive studes. Mean follow up time was 4.7 years and one-third of the roup were resistant to treatment. With regards to the characteristics of the group, their emographics, symptomatology, and co-morbidities are roadly similar to other reported groups in tertiary settings rom around the world.2--7 Daytime urinary incontinence is nown to be more common in girls8--11 in contrast to nocurnal enuresis and fecal incontinence, which are more ommon in boys. The age of presentation in this cohort mean 7.9 years) is two to three years after the child is xpected to be dry.12 A large population cohort in the United ingdom followed from birth to young adulthood allows the