What to Expect on Your First Visit
Your first visit will include both you and your child. You will be asked to complete a three-day voiding diary (file is also available in Spanish) which provides important information about your child’s fluid intake and bathroom habits. If your child has had any testing done related to their bladder function, you should bring reports and CDs of that testing with you to your first visit. This may include copies of urine testing or ultrasound of kidneys or bladder. You can obtain the CDs from the facility that did the original testing.
Dysfunctional voiding is primarily diagnosed by reviewing a thorough patient history with emphasis on toilet habits. An ultrasound of the kidneys and bladder may be used to look for rare structural abnormalities. An abdominal x-ray may be used to evaluate for stool retention. Further evaluation may include pre-void and post-void ultrasounds to assess for residual urine. A uroflow with EMG test may be performed to evaluate the activity of your child’s pelvic floor muscles with voiding. This test may show poor pelvic floor muscle relaxation causing abnormal urine flow.
After the initial visit, follow-up visits may occur every 6-8 weeks, or more frequently, depending on the child’s needs. The number of visits needed depends on how quickly symptoms improve with management.