Pediatric Urology

Voiding Dysfunction Clinic

Helping Children Overcome Bed Wetting and Other Urinary Dysfunctions

Bed wetting and frequent daytime accidents can cause needless embarrassment, stress and anxiety for both parents and children. About 15 percent of five-year-olds can’t stay dry through the night, while other children face difficulty during the day, unable to make it to the bathroom in time.

In a supportive, nonjudgmental environment, using innovative therapies like video urodynamics and interactive biofeedback games, our highly skilled pediatric urologists will help you find a treatment that works for your child. Our clinic routinely deals with difficult-to-treat cases in which previous drug therapies and other approaches have failed. More than 70 percent of children we treat at our clinic show remarkable improvement.

Our doctors will meet with you and your child, taking the time to completely understand the nature of the voiding dysfunction (urination problem), from bedtime habits to the workings of internal muscles and organs. If necessary, non-invasive testing can be used to determine the coordination of your child’s pelvic floor, a common cause of voiding dysfunction.

Advanced Therapies for Urinary Problems

If your child’s problem is more complex, we are experienced in a number of innovative techniques. We may use video urodynamics, a more in-depth form of testing combining the routine study of urinary flow with ultrasound or X-ray images. Urodynamics provide a simultaneous picture of the body’s internal workings and are used to assess your child’s situation. From there, we narrow down treatment options until we find the right one for your child. Nighttime sensors that alerting your child when wetness occurs is one such example of an approach we've recommended with great success.

Another such option is biofeedback, in which your child visits our biofeedback studio to play a specially designed video game. Sensors are placed on your child that detect muscle activity, and by clenching and unclenching the pelvic muscles, your child can move characters across the video screen. This will help your child become more aware of his or her pelvic floor muscles and the sensations involved with the urge to go.