★ ★ ★ ★ ★★ ★ ★ ★ ★ Verified rating
We left very happy with the doctor-patient relationship
Childhood urinary incontinence is the involuntary loss of urine in children who have already reached the usual age of bladder control.
It can have various causes and, in many cases, can improve with behavioral interventions, medical treatment, or a combination of both. The approach is tailored to the cause and the individual needs of each child.
Urinary incontinence in children occurs when they experience involuntary urine leakage during the day. This can be due to various anatomical or neurological abnormalities. In the absence of such abnormalities, daytime urinary incontinence is known as functional bladder dysfunction , referring to disorders in the bladder's storage and emptying processes that lead to urinary incontinence in children.
Under normal conditions, the bladder and urinary sphincter work as a coordinated unit, allowing for the storage of urine at low pressure and its voluntary and complete emptying. This control over the timing of urination is usually achieved around 2-3 years of age.
Urinary incontinence significantly affects the quality of life of children who suffer from it and their families, both in the school environment and in their personal relationships.
If, during this phase, the bladder experiences uninhibited contractions, the patient will feel an urgent need to urinate, resulting in urinary incontinence. This is called overactive bladder and is characterized by the need to urinate very frequently but in small amounts.
Weakness of the urinary sphincter can also be responsible for urine leakage during bladder filling, coinciding with laughter or physical exertion.
This dysfunction is known as uncoordinated urination, and it leads to incomplete bladder emptying, recurrent urinary tract infections, and urine leakage.
Filling dysfunction : During the bladder filling phase, the bladder must relax to hold urine without pressure, and the sphincter, on the contrary, must contract to prevent urine loss.
This is called overactive bladder and is characterized by the need to urinate very frequently but in small amounts. It usually occurs between the ages of 6 and 7 and is very common.
Voiding dysfunction : During the bladder emptying phase, it is common for children to postpone urination by voluntarily contracting the bladder sphincter and using retention maneuvers (crossing their legs, squatting, etc.). If this situation persists, it leads to a disruption of the normal voiding cycle between the bladder and the sphincter.
This disorder is frequently associated with constipation-encopresis and requires joint assessment for pelvic floor rehabilitation.
To diagnose urinary incontinence in children, it is important to know when urine leakage occurs in order to identify the type of incontinence and its possible causes. Likewise, it is essential to individualize the diagnostic protocol for each patient, minimizing unnecessary tests and ensuring an accurate diagnosis.
After making a good diagnosis of urinary incontinence in the child and getting to know his routines, the pediatric urologist will gradually adapt new habits to his life.
Conservative treatment : This is the first step in the recommended treatment for all patients, regardless of the type of incontinence they have. Conservative treatment includes a combination of hygiene and dietary measures and bladder retraining, requiring the involvement of the patient and family, and follow-up by a specialist physician.
There are also many therapeutic options to help patients manage urinary incontinence, including:
Biofeedback : This technique uses a sensor system to allow the patient to be aware, in real time, of various physiological parameters that describe how their body functions. In a comfortable and relaxed environment, the child will learn, painlessly and using a computer program, to contract and relax their pelvic floor muscles, helping them regain a normal urination rhythm, prevent infections, and recover their self-confidence. These exercises should then be repeated at home to strengthen the pelvic floor and achieve the desired results.
Posterior tibial stimulation : is a painless, in-office treatment to help restore the normal urination cycle and improve urinary incontinence.
Surgery : When these treatments are insufficient, surgical treatment may also be indicated in certain patients, including cystoscopic application of botulinum toxin to the urinary sphincter for the treatment of sphincter hypertonia or, in the bladder, for the treatment of uninhibited contractions that do not respond to conservative treatment.
In patients with congenital or acquired urological pathologies, there are multiple surgical treatment options to improve urinary continence, making it essential to individualize the treatment according to the situation and needs of each patient.
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We treat our patients at the ROC Chamberí clinic and in the HM Hospitals network of centers in Madrid: Sanchinarro, Montepríncipe, Madrid Río, Rivas, Puerta del Sur, Nuevo Belén, Policlínico HM Moraleja and Nuevo Norte.
Coming soon
We left very happy with the doctor-patient relationship
Our patients' trust reflects our commitment to providing excellent, personalized, and attentive urological care. Every experience motivates us to continue improving and offering the care and support each patient needs.
Excellent urological clinic due to the professionals who work there.
A highly professional clinic, with a very high scientific level and advanced technology. They helped me solve my urological problem.
I can only say one thing, the urology girls are the best you can find in this...
I want to express my gratitude to the Roc team, especially Dr. David Carracedo, for their professionalism, the...
Excellent care, both from Dr. Rojo and Dr. Espinales on a medical level and from the staff of...
Top 100 deal
I've been coming to the Urology department at HM Monteprincipe for a long time and I'm very happy with the care I receive from...
Holding in your urine occasionally isn't usually harmful, but when this habit is repeated it can affect bladder function...
Frequent urination in children is often a cause for concern for families, although in many cases it is due to temporary functional changes. Understanding its causes...
In urology, many clinical decisions are based on objective data. It is not enough to know that a patient "urinates worse" or that the stream "has lost..."
