The Cribsiders S7 Ep147: Urine Good Hands: Evidence-Based Approaches to Enuresis
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Jul 30, 2025 Pediatric urologist Carmen Tong, Director of Pediatric Robotic Surgery at Children's of Alabama, brings a wealth of knowledge about enuresis. She delves into the complexities of nighttime bedwetting and daytime urinary incontinence, emphasizing the importance of accurate diagnosis and emotional support for young patients. With insights on behavioral modifications, cognitive therapy, and innovative treatments like bed alarms and medications, Tong highlights evidence-based approaches to help families navigate these challenges while addressing social disparities in healthcare access.
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Dr. Tong's Concert Pianist Past
- Carmen Tong trained as a concert pianist before medicine, emphasizing practice over natural talent.
- She likens surgery to the Olympics, requiring dedicated practice and preparation.
Broad Causes of Daytime Incontinence
- Daytime urinary incontinence is common, affecting millions of children over six.
- Multiple etiologies include UTIs, bowel dysfunction, diet, behavior, neurodevelopment, neurologic and anatomic causes.
Comprehensive Evaluation Approach
- Take a thorough history including UTI history, dietary habits, voiding frequency, and bowel movements.
- Perform a detailed abdominal and genital exam, checking for inflammation and neurologic signs like sacral dimples and gait abnormalities.
