stress incontinence in 9 year old girl

[stuart1]

My daughter is 9 years old.  She suffers from daytime incontinence, most often occurring during play times when she is either laughing or jumping and playing.  She is dry at night time.  We have seen her family doctor who recommended that she just go to the bathroom more often, but I have noticed times when my daughter will have an accident just 15-20 minutes after emptying her bladder.  We have also seen a urologist who did not perform any tests on her, but recommended that she take Oxybutynin.  He based this prescription on a suspicion that her problem is due to a delay in neural maturation which can cause bladder spasms and will no doubt be a problem that she will outgrow.  To date, the medication is not producing a positive result.  We are hopeful that you can offer some advice or information that will help us find a solution to this problem.

Thank you!

[Kevin Pho, MD]

What your urologist suggests may be a possibility.  I would also suggest obtaing a urinalysis to ensure there is no infection that is causing the problem.  Blood tests for diabetes can also be done to be complete.  

An ultrasound can be considered to evaluate how much urine is left in the bladder after urination.  Further tests may include urodynamic testing to evaluate if there is any mechanical or anatomical abnormality that may be causing the symptoms.  These tests can be discussed with your urologist.  A pediatric urologist can also be referred to for another opinion.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.