Your Appointment with the Pediatric Urologist
At your first appointment, the doctor will discuss your child's history with incontinence, infections and bowel movements. They will usually take a urine sample to determine if your child is experiencing normal childhood wetting or a more serious issue.
You may have to complete a voiding diary to record how much your child drinks and how often they urinate. Your doctor will give you specific instructions on how to complete this diary. It will give your doctor a more specific idea about what is happening with your child.
Urinary Tract Infections (UTI)
A UTI is an irritation that happens in the bladder, kidneys and the greeters. If infections are left untreated, children may develop more serious problems like kidney damage.
Common symptoms of UTIs include:
- Pain with urination
- Needing to urinate frequently
- Urgent need to urinate
- Loss of urinary control, like bedwetting
If your child is experiencing frequent urinary tract infections, the doctor will use a special imaging study to determine the cause. Some children may be predisposed to infections. Frequent infections can be treated with antibiotics.
It is normal for children to wet themselves up to a certain age. When your child is wetting himself past the age of 5, having pain in their back or stomach or not urinating frequently, they may have a voiding disorder. A pediatric urologist can help determine treatment.
Voiding disorders may be caused by poor bathroom habits and other problems including kidney disease and infections. The most common types of voiding disorders include:
- Daytime wetting
- Giggle incontinence
- Urge syndrome
A pediatric urologist will work with a pediatric nephrologist and psychologist to create a treatment plan for your child. Voiding disorders can be treated through:
- Managing constipation
- Eliminated bladder irritants (caffeine, citrus juice, chocolate)
- Treating UTIs
- Behavioral methods
Some pediatric urologists will refer your child to a clinic where they can learn to create a routine and normalcy around bladder and bowel function. This program may reduce the need for invasive testing or surgery. It will allow children to understand what they can do each day to avoid wetting themselves or developing infections.