A complex is described herein, consisting of the symptoms of urinary and often fecal incontinence, and the findings of disturbed structure and evacuating function of the urinary tract, with resultant infection. Emotional imbalance alters vesicourethral function both physiologically and pathologically, and results in poor coordination between contraction of the detrusor and relaxation of the external sphincter, similar to the effects of neurogenic disorders. We have named this condition nonneurogenic neurogenic bladder. If surgical correction of this structural damage is to succeed it must follow restoration of coordinated voiding, brought about by a program of anticholinergic drug administration, antibacterial therapy, correction of constipation, parental instruction, and finally strong suggestion often including hypnosis.
