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)