Center for Urologic and Pediatric Incontinence Disorders
Pediatric Urology of Western New York is proud to announce the launch of CUPID (Center for Urologic and Pediatric Incontinence Disorders). This dedicated center has been developed to focus on providing the most comprehensive treatment to children struggling for daytime dryness. Our nurse practitioners and nurse clinician are working collaboratively with the urologists to treat children for urinary incontinence and voiding dysfunction.
CUPID focuses on the underlying problems related to incontinence and enuresis and therapy is tailored and individualized for each child. Our office provides comprehensive urological services to pediatric patients. After thorough assessment and examination, your child may be referred for bladder and pelvic floor training .
Biofeedback is a conservative, non-surgical therapy used to treat bladder dysfunction, incontinence and urgency. Children with toileting difficulties are often anxious and are unable to relax the muscles needed for effective elimination of urine and stool. Biofeedback offers clear visual reinforcement on how to use pelvic floor muscles by using video games. This therapy re-trains the pelvic floor muscles. The nurse works with the children, coaching them on how to use their muscles. These sessions are an hour long and occur at our 140 Hodge St. office only. The sesssions are scheduled with our nurse and require the child to arrive with a FULL bladder. Biofeedback Informational Handout
Children followed in the CUPID clinic for biofeedback will have regular visits with the Nurse Practitioners and Nurse. They will also follow up with the physicians.
Our urodynamic laboratory has been designed for investigating complex voiding disorders and neurogenic bladder. The nurse works closely with the physicians to provide the child with the best urodynamic experience possible.
The urodynamic evaluation will be preformed by Dr. Greenfield or Dr. Williot and our urology nurse, in the Radiology department at the Women and Children's Hospital of Buffalo. This study involves placing a small catheter into the bladder by passing it through the urethra. A jelly with numbing medication will be used to pass this tube which is about the size of a cooked spaghetti noodle. Fluid is injected through the catheter until the bladder is full or until the child urinates. In addition, a small balloon catheter may be placed in the child's rectum to monitor straining or movement, which can create false bladder measurements. Small stick-on patch electrodes will be placed on your child's buttocks, which allow us to check the control of the urinary sphincter muscles. While the bladder fills, X-rays will be taken to see how the bladder looks and behaves.
The test is done in the X-ray Dept. of the hospital. You will be able to stay with your child for the testing, but you will need to sign a release form to stay in the room. You will not be allowed in the room during x-rays if you are pregnant or receiving radiation therapy yourself, so plan on bringing a substitute who has a positive relationship with your child. It is helpful to bring a bottle, pacifier, or favorite toy to help comfort your child during the study. The test take about 20-30.
Afterward, your child may complain of some burning or irritation upon urination. This is normal and usually clears up during a couple voids. Treat any discomfort with Tylenol, and encourage your child to drink plenty of liquids following the test. This can include favorite drinks such as soda, koolaid, juices, milkshakes, or water. Snacks such as jello popsicles, puddings, and ice cream are eliminated through the kidneys and will help dilute and flush the urinary system.