Urotherapy Book

38 Case 3: Dysfunctional Voiding Treatment in a 10 year Old Girl Objectives After completing this chapter, you will be able to: 1. Understand the impact of persistent wetting on quality of life 2. Implement a teaching plan for 10 year old girl with dysfunctional voiding and her parents 3. Compare and contrast anatomic and physiological characteristics of lower urinary tract in children 4. Relate the assessment findings to the child’s lower urinary tract status. 5. Identify various factors associated with dysfunctional voiding 6. Outline the therapeutic regimen Dysfunctional voiding, bladder outlet, flowmeter, ultrasound, bladder diary, DUI Background Tessa is 10 years old and suffers from wetting and UTI’s for the past 2 years. She has seen a general practitioner who has ruled out any kidney problems or reflux. She has no symptoms of neurological problems with bladder and has mild constipation which is being treated with Macrogol. At home and at school Tessa a healthy girl, she is the middle child of 3 siblings. She has a 12-year-old sister and a 7-year-old brother. She lives with her mother and stepdad in a small village. Her family has a dog, which stays outside most of the time and a cat. She loves playing with her dolls and reading. Her mom stays at home and sells beauty products for additional income for the family. Her stepdad works in a factory.