{
"question": "In a child with a history of previously achieved continence who now has frequent nocturnal enuresis, daytime urinary incontinence, and is taking darifenacin, what evidence‑based pediatric urology diagnostic steps (including history, physical exam, urinalysis, bladder diary, renal‑bladder ultrasound, uroflowmetry with post‑void residual and pelvic‑floor EMG) are recommended, when are VCUG, formal urodynamics, or spinal MRI indicated, and is darifenacin an evidence‑based, approved treatment for pediatric overactive bladder in this setting?"
}In a 6-year-old girl with a history of previously achieved continence who now has frequent nocturnal enuresis, daytime urinary incontinence, and is taking darifenacin, what evidence‑based pediatric urology diagnostic steps (including history, physical exam, urinalysis, bladder diary, renal‑bladder ultrasound, uroflowmetry with post‑void residual and pelvic‑floor EMG) are recommended, when are VCUG, formal urodynamics, or spinal MRI indicated, and is darifenacin an evidence‑based, approved treatment for pediatric overactive bladder in this setting?
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