Small Capacity Bladder & Urinary Incontinence

This is a very common condition in children with wetting/urinary incontinence.

There are 2 basic ways of approaching this problem:

• Ensure appropriate nature and amount of fluid intake
• Empty bladder at 3 hourly intervals

A trial for 3 to 6 months may resolve some of the issues. A further trial of anticholinergic medication may help.

Failure to respond to the above management plan may require the injection of botox into the bladder to relax the bladder muscle. If there is some  response to this injection we may need to repeat this a few times upto a ?maximum of three times.

An operation called ‘bladder augmentation’ simply meaning making the bladder big may be necessary if the above conservative management fails.