Urotherapy Book

8 comorbidities and severe bladder overactivity, medication may be necessary. Treatment of incontinence in children is often complex and requires time and patience. Urotherapist is a term (ICCS) for healthcare professionals with psychology, nursing, physiotherapy, or medical background, who have obtained their expertise through specific training and include the children’s continence nurse/nurse specialist, child (pelvic floor) physiotherapists and psychologists. The urotherapist must have a knowledge of the anatomy, physiology, and pathophysiology of the gastrointestinal and urogenital system. In addition, the urotherapist should understand the psychological and behavioural assessments in children allowing them to analyse the problem of the incontinent child and recommend modifications.6 3. Team Approach Treating children with bladder and bowel problems is teamwork. Therefore, it will always be multidisciplinary in its approach. Each healthcare provider will do incontinence assessment, initial screening of behavioural comorbidities, education of child/family and teaching voiding/bowel regimes. However, shared areas of expertise and discipline-specific expertise is needed. The role of the Urotherapists Urotherapy is specifically provided by the urotherapist making a treatment plan and counsels the child and the parents during treatment. Urotherapists teach skills and advise to change behaviour patterns; therefore, they must be able to coach the child and have frequent contact with the child and parents. In certain situations, the urotherapist must have the courage to take a treatment break. Continuous treatment without good outcomes causes frustration and demotivation in children and parents. The role of Physiotherapists Physiotherapists are skilled at assessing muscle dysfunction and prescribing exercises such as pelvic floor muscle relaxation, strengthening or endurance to facilitate defecation and treat dysfunctional voiding. The physiotherapist contributes to musculoskeletal assessment