The clinic is devoted to caring for children who have various bladder and urinary tract complaints. Our program evaluates and treats hundreds of children with daytime and nighttime wetting. We also see children with urinary symptoms such as frequency, urgency, painful urination and recurrent urinary tract infections. If your child is experiencing any of these complaints, you should discuss this with your pediatric or family practice primary care provider.
Daytime Wetting (Diurnal Enuresis)
Children after the age of toilet training (4 to 5 years old) can have wetting accidents during the day. Some of the common causes of daytime wetting include constipation, bladder spasms, infrequent urination and urinary tract infections. Daytime wetting can happen when a child is attempting to run to the bathroom (urge incontinence), during exercise (stress incontinence), while laughing (giggle incontinence) or immediately after urination (post void dribbling).
Nighttime Wetting (Nocturnal Enuresis)
Bedwetting tends to run in families and is considered genetic in most cases. Bedwetting can persist from the time of toilet training or may occur after a child has been dry at night for several years. Bedwetting is common in children through age 5 and not considered abnormal unless daytime urinary symptoms exist.
Punishment is not appropriate or helpful in treating bedwetting. Punishment can only contribute to the child’s poor self-esteem. Achieving dryness through supportive and positive treatment is more beneficial and contributes to improving the child’s self-worth.
Our Healthy Bladder Team includes five nurse practitioners and a pediatric nephrologist. A pediatric nephrologist is a doctor who specializes in the care of children with kidney and bladder diseases. Nurse practitioners are registered nurses with an advanced degree and special training. These individuals work with the urologists at Cincinnati Children’s to provide excellent care for your child.
Your child can be scheduled in the Healthy Bladder Clinic at the Burnet Campus or at one of our neighborhood locations: Liberty, Anderson, Mason or Northern Kentucky.
When you and your child come to the first appointment, the nurse practitioner or physician will take a complete medical history. Your child will also have a physical exam. A urine sample will be obtained. It is important to complete the urinary and bowel diary that you receive in the mail before your child comes to the first visit and bring it to the visit.
If you receive the diaries at the first visit, please complete them and bring them to your child's first follow-up visit. This simply requires you to document your child’s urinary and bowel habits. After your child has been examined, some testing may be recommended. After your child’s visit and testing, a treatment plan will be recommended.
Each child is different and each treatment is developed for the individual needs of that child. Treatment may include behavior changes, biofeedback, bowel management, medications and positive reinforcement.
Contact the Healthy Bladder Clinic at 513-636-4975.