Lazy bladder syndrome (the infrequent voider) causing a vesicoureteral reflux in the child

Arch Ital Urol Androl. 2007 Mar;79(1):30-2.

Abstract

The Infrequent Voider Syndrome or Lazy Bladder Syndrome in children is characterized by a large capacity bladder, frequently associated with a significant volume of residual urine. Usually these patients arrive at medical examination with a history of recurrent urinary infections but without anomalies in the upper urinary tract. We report about a young girl affected by one-sided 20 degree vesico-ureteral reflux due to Lazy Bladder Syndrome that had never been diagnosed before. This patient has been submitted to a prompt bladder training and seems presently to have at last gained a physiological micturition after 9 months of follow-up,without actual evidence of vesico-ureteral reflux. Therefore we must stress that it is prominently important considering every notice about infrequent micturition in a paediatric case history or a large capacity bladder, noticed by chance too. These reports may be fundamental for early diagnosis of Lazy Bladder Syndrome.

Publication types

  • Case Reports

MeSH terms

  • Algorithms
  • Anti-Infective Agents, Urinary / therapeutic use
  • Child, Preschool
  • Female
  • Humans
  • Syndrome
  • Treatment Outcome
  • Trimethoprim / therapeutic use
  • Urinary Bladder Diseases / complications*
  • Urinary Bladder Diseases / diagnosis
  • Urinary Bladder Diseases / drug therapy
  • Urinary Bladder Diseases / rehabilitation
  • Urinary Tract Infections / complications
  • Urinary Tract Infections / prevention & control
  • Vesico-Ureteral Reflux / diagnosis
  • Vesico-Ureteral Reflux / drug therapy
  • Vesico-Ureteral Reflux / etiology*
  • Vesico-Ureteral Reflux / rehabilitation

Substances

  • Anti-Infective Agents, Urinary
  • Trimethoprim