Urinary tract infections (UTI’s) are common with approximately 2% of all children experiencing a UTI by 10 years of age . As uropathogenic bacteria ascend the urethra to gain access to the bladder it is not surprising that more girls than boys will get an infection. What is not generally recognized is that no matter
My mentor in Urologic training frequently advised us to never become expert in something that you can't operate on. It is clear that I didn't heed this sage advice. Though Pediatric Urology is a surgical discipline, 10% of our 14000 office visits last year were for management of children with wetting problems. Diurnal enuresis, voiding
Wetting at night without any daytime issues is properly termed mono-symptomatic nocturnal enuresis. I find this term cumbersome and prefer bedwetting for use with parents and colleagues alike. I confess that I am not conversant with the voluminous literature relating to bedwetting. Remotely I was involved in the industry-sponsored trial of DDAVP that paved the
Much has been written in the Pediatric literature about toilet training. 1,2 The child orientated approach to toilet training seems most accepted in our country and assumes that success is dependant on the child's interest in gaining comfort with various aspects of independent toileting on their own schedule. Some parents prefer the structured approach that
