Thank you for inquiry. Hinman syndrome describes a voiding dysfunction that is believed to be an acquired condition usually seen and diagnosed in the pediatric population. It presents as urgent voiding with incontinence, infrequent voiding, intermittentcy, straining, urinary tract infections and fecal incontinence.
There may be family stress ie divorce, wetting episodes may be punished,thus the child will try to withhold urination,defecation only to aggravate the situation. The physiology is thought to be due to active contraction of the sphincter during voiding reflex which causes obstruction of urination. On x-ray the bladder is often enlarged often see fecal impaction characteristic of constipation. Treatment focuses on helping the child void normally through alleviating psychosocial pressures which are likely to be causing the problem with voiding. A voiding diary helps to access the timing and volumes voided along with biofeedback techniques to relax the urinary sphincter. If the bladder has uninhibited contractions a medication(anticholinergic) may be of benefit to relax the bladder. If the bladder does not empty completely intermittent catherization may need to be learned. Psychotherapy is recommended to help educate the family in appropriate voiding habits and stop punishment system and improve self image of the child.
This information is provided for general medical education purposes only. Please contact your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and it urban campuses by Calling(1800653 6568)
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.