• Dysfunctional voiding is an abnormality of the voiding phase of bladder function.
• Bowel and bladder function are intimately connected and both should be addressed in evaluation and management.
• Uroflowmetry is the essential diagnostic test in dysfunctional voiding, and a staccato urine flow pattern is the mainstay of diagnosis. The
emphasis is on non-invasive forms of evaluation and management. Formal urodynamic study is seldom needed. It is important to realise
that there can be both high and low intra-vesical pressures in children with dysfunctional voiding.
• Urotherapy, i.e. behavioural modification, is the basis of treatment, and medication is only ancillary. A team effort between medical caregivers,
the family and the patient is fundamental in achieving long-term success.