Children’s Continence Center

Urinary incontinence can be stressful and may cause frequent embarrassment for your child. With help from the Urinary Continence Center, you and your child can learn to manage or overcome this problem.

Conditions We Treat

There are many kinds of urinary incontinence and problems in urination, including these conditions:

  • Daytime wetting
  • Hematuria (blood in the urine)
  • Infrequent urination
  • Nocturnal enuresis (bed wetting)
  • Urinary frequency
  • Urinary urgency
  • Urinary hesitancy
  • Urinary tract infection
  • Neurogenic bladder

Treatment for these conditions starts with a detailed history, including your child’s past medical history and current symptoms. A diary of your child’s bladder and bowel habits is very important because it helps us diagnose his or her condition accurately.

We also have a variety of exams we can use to help determine your child’s condition. These include:

Uroflow

In this exam, your child urinates into a special toilet that measures how much and how fast your child urinates. The test is not painful. Small patches placed on your child’s buttocks measure muscle activity while he or she urinates. When your child is finished urinating, we use ultrasound to measure how much urine is left in his or her bladder.

Renal Ultrasound

We use ultrasound to evaluate your child’s urinary tract. We view your child’s kidneys by wiping water-based gel on your child’s abdomen and rubbing a wand on the area over his or her kidneys and bladder.

Kidney, Ureter, Bladder X-ray (KUB)

This X-ray can reveal constipation, which can contribute to urinary incontinence.

Voiding Cystourethrogram (VCUG)

A common reason for a VCUG is a urinary tract infection (UTI) accompanied by a high fever. In this exam, a small, soft tube, called a catheter, is inserted through your child’s urethra into the bladder. We then fill your child’s bladder with a special liquid that allows us to see the bladder with an X-ray technique called fluoroscopy. Your child then urinates and the catheter comes out.

Fluoro-urodynamics or Video-urodynamics

Sometimes it may be necessary to perform this highly specialized exam. The goal of the exam is to measure pressure in both your child’s bladder and abdomen. We use a urinary catheter to measure pressure in the bladder, and a tiny tube inserted into your child’s rectum to measure pressure in his or her abdomen. We also put sticky patches on your child’s buttocks to measure muscle activity while he or she urinates. This test shows us how well the bladder holds urine and how good the bladder is at emptying urine.

Treatments

With information from you and from any exams performed, we then develop a treatment plan specifically for your child. This treatment plan is unique to your child and your family.

Here are some elements that may be included in your child’s treatment:

  • Education regarding healthy bowel and bladder function
  • Timed schedule for toileting
  • Adequate fluid intake
  • Constipation management
  • Good hygiene
  • Proper toilet posture
  • Relaxation techniques
  • Medications
  • Biofeedback (We measure muscle activity of your child’s pelvic floor, while using video games to teach relaxation and strengthening muscles used for urinating)

Appointments

You can contact the Children ’s Continence Center directly by calling 317-944-7411.

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