The Pediatric Voiding Improvement Program is a comprehensive program for children and teens with bladder control problems, also known as voiding dysfunction. The Department of Urology at Stony Brook offers effective and innovative solutions for improving such issues.
Your visit will start with a thorough evaluation by our pediatric urologist and nurse practitioner. Treatment plans follow a multidisciplinary approach and involve input from urologists as well as from other pediatric specialists as needed, including pediatric behavioral psychologists. If constipation is a factor, bowel issues also are addressed. As part of Stony Brook Children’s, the scope of expertise available to voiding improvement program (VIP) patients is unparalleled in the region.
To schedule an appointment call (631) 444-6270, option 2
Conditions We Treat
- Bedwetting (Nocturnal Enuresis)
- Daytime wetting (urinary incontinence)
- Urinary frequency
- Prolonged urine-holding
- Recurrent urinary tract infection
- Various other voiding issues
Visit our Pediatric Urology page to learn more.
Treatment Options
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Frequently Asked Questions (FAQs)
In our experience, voiding problems are most successfully approached from a perspective that addresses the full range of potential causes – behavioral as well as medical. Our program was designed to meet this need.
Most of our patients are elementary school students but we also serve younger children as well as many teenagers.
The physician’s assistant explains how to control the targeted muscles and the patient watches an age-appropriate, interactive, animated visual display, which provides feedback on his or her progress. Muscle movement is measured through electrodes placed under the clothing on the abdomen and buttocks. Urine flow rate (using a self–measuring receptacle) and an ultrasound bladder scan before and after voiding also may offer helpful information. All parts of the process are noninvasive and child-friendly. Motivation and willingness to participate are key factors in success. Practicing the exercises at home is important, too.
The Laborie Urostym® system is the technology we use for biofeedback – the latest-generation system that can be customized to the age and gender of the patient. Urostym® is a state-of-the-art, center-based, noninvasive pelvic floor biofeedback system that provides effective treatment for lower urinary tract dysfunctions such as urinary incontinence, fecal incontinence, constipation, urinary retention and voiding dysfunctions.
Many patients with bladder control issues also experience constipation. Treatment of constipation has been clinically proven to improve resolution of voiding dysfunction.
Our Experts
Robert J. Wasnick, MD, FAAP, FACS | Rachel Davis, MD | Michael Ernst, MD | Meagan Hartough, NP |
Our Locations
Commack
500 Commack Rd, Suite 201B
(Within Stony Brook Medicine's Advanced Specialty Care)
East Setauket
24 Research Way, Suite 500
Holbrook
280 Union Avenue
Patchogue
450 Waverly Avenue
Riverhead
74 Commerce Drive
Smithtown
260 Middle Country Road
Call (631) 444-6270 to make an appointment today.