The role of Physical and Rehabilitation Medicine in Lower Urinary Tract Dysfunction in Pediatric Age

Lower urinary tract (LUT) dysfunction in pediatric patients is one of the most common reasons for consultation in pediatric urology and nephrology, affecting up to 40% of children assessed in these consultations.LUT dysfunctions are frequently associated with various comorbidities, such as recurrent urinary tract infections, vesicoureteral reflux, renal injury, constipation, among others. Moreover frequently contribute to social stigmatization, particularly during school age. Early identification and appropriate treatment of these conditions are crucial to mitigating their associated negative impacts. Physical and Rehabilitation Medicine (PRM), which includes interventions such as urodynamic evaluation, bladder training, and pelvic rehabilitation, traditionally applied to adult populations, can play a pivotal role in supporting medical specialties that manage LUT dysfunction in children. PRM contributes to both diagnosis and therapy, aiming to enhance bladder function and, consequently, improve the quality of life of affected children, while also preventing potential long-term sequelae in adulthood.