{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:25:09Z","timestamp":1787563509011,"version":"build-2736575974"},"reference-count":167,"publisher":"Hogrefe Publishing Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Zusammenfassung: Hintergrund: Enuresis und Harninkontinenz tags sind h\u00e4ufige St\u00f6rungen des Kindesalters, die mit einer hohen Beeintr\u00e4chtigung und komorbiden psychischen St\u00f6rungen einhergehen k\u00f6nnen. Das Ziel dieser interdisziplin\u00e4ren Leitlinie ist es, den aktuellen Stand zur Diagnostik und Therapie dieser St\u00f6rungen aus somatischer und psychiatrischer Sicht zusammenzufassen und praxisorientierte Empfehlungen zu formulieren. Methoden: Die Leitliniengruppe setzte sich aus 18 Fachgesellschaften zusammen. Die Leitlinie wurde auf der Basis aktueller Literaturrecherchen in mehreren online erfolgten Abstimmungen und Konsensuskonferenzen nach den Regeln der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V. (AWMF) verabschiedet. Ergebnisse: Nach der International Children\u2019s Continence Society (ICCS) k\u00f6nnen vier Subformen der Enuresis (nocturna) und neun der funktionellen Harninkontinenz tags unterschieden werden. Organische Faktoren m\u00fcssen ausgeschlossen werden. Eine klinische und nicht-invasive Diagnostik ist in den meisten F\u00e4llen ausreichend. Eine Standard-Urotherapie stellt die Grundlage der Behandlung dar. Sie kann durch eine spezifische Urotherapie erg\u00e4nzt werden. Eine Pharmakotherapie kann vor allem bei der Enuresis und Dranginkontinenz sinnvoll sein. Komorbide psychische und somatische St\u00f6rungen m\u00fcssen ber\u00fccksichtigt werden. Schlussfolgerungen: Im Konsensusverfahren konnten alle Empfehlungen mit hoher Zustimmung verabschiedet werden. Eine interdisziplin\u00e4re Zusammenarbeit ist von hoher Bedeutung, da somatische Faktoren und komorbide psychische St\u00f6rungen und Symptome ber\u00fccksichtigt werden m\u00fcssen. 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