Voiding Improvement Program

The Voiding Improvement Program at Children’s Hospital Los Angeles offers care for children ranging from potty-training age to teenagers, who experience urinary tract infections, frequent urination or day-time and night-time wetting.

Our experienced care team works together to develop the right care plan for each child’s unique needs. Services offered through the clinic, include biofeedback, computer game-assisted educational sessions, exercises and toileting practice.

Services

Biofeedback

  • Biofeedback services are available at the Voiding Improvement Clinic to help kids gain consciousness of the pelvic floor muscles that are used for urination. Often, children who struggle with both day-time and night-time incontinence are unable to relax their muscles when they sit on the toilet.
  • Sometimes they also leak urine before they reach the restroom because of an inability to contract the muscles. Biofeedback helps them regain control of these muscles and motions.

Computer Game-Assisted Educational Sessions

  • Our clinic uses a fun and engaging non-invasive computer game, which is connected to the child by electrode sticker patches, without using catheters, to help them identify particular muscles and to learn how to control them.
  • Through a series of approximately six sessions, the child learns to achieve dryness, which in turn improves his or her quality of life, as well as the family’s quality of life.

Exercises and Toileting Practice

  • Some children who receive biofeedback do not have difficulty with incontinence, yet may be challenged by frequent urinary tract infections. These patients benefit from pelvic floor exercises, which teach them to relax muscles to fully empty their bladder each time they sit on the toilet.
  • Many children rush through toileting, are distracted, avoid the urge to urinate or defecate, or avoid using the bathroom at school because of fear. Regardless of the cause, children often hold their urine and this creates an opportunity for infection.

Through the Voiding Improvement Program, we emphasize proper toileting practices and work with children to eliminate these unhealthy habits. For instance, we practice timed voiding, address constipation that frequently accompanies these challenges and discuss the proper position for sitting on the toilet.