Voiding Improvement Program (VIP)

Urinary incontinence in children is a common problem. It is estimated that more than 19,000 Wisconsin children and teens ages 5 to 15 wet the bed and/or have poor bladder control during the day. Children with voiding problems may have some of the following symptoms:

• Daytime wetting.
• Nighttime wetting.
• Voiding often.
• Not voiding often enough.
• Wiggling, dancing, squatting or holding self before going to the bathroom.
• Rushing to get to the bathroom on time.
• Multiple urinary tract infections.

The Children's Hospital of Wisconsin Voiding Improvement Program (VIP):

• Improves self-esteem by helping children and teens deal with the anxiety, embarrassment and stress this problem often causes.
• Provides a comprehensive evaluation, diagnosis and treatment of children and teens with daytime and nighttime wetting or other voiding problems.
• Rules out medical problems that may contribute to urinary incontinence.
• Educates families, children and teens about their condition and help them choose and implement a plan that fits their unique needs.

The VIP staff offers a sensitive approach, along with today's knowledge and technology, to evaluate and treat children with voiding disorders. They will compile a detailed history, perform a physical exam and may obtain diagnostic testing, based on the child's symptoms. Treatment options are based on each child's needs and may include:

• Treatment of associated constipation and/or urinary tract infections.
• Behavior modification, such as:
  - Enuresis alarm for bed-wetting.
  - Structured voiding schedule.
  - Biofeedback training (Urology Clinic).
• Medication.
• Long-term follow-up and support.

Learn more about how to prepare for your child's appointment.

Location
Children's Hospital of Wisconsin, Milwaukee.