Continence Center / 2-B-Dry Program

To make an appointment, call 858-966-5999.six years old child sleeping in bed on pillow with alarm clock and a teddy bear

No matter when it occurs (day or night), incontinence can cause great distress for both the parent and child. When it becomes a frequent occurrence, many parents think that something may be physically or psychologically wrong with their child, fear that their child will be teased or ridiculed and are concerned about their child’s self-esteem.

Children may feel anxious and embarrassed, causing them to miss school and avoid other activities with peers, such as sleepovers. Parents, having to continuously deal with the incontinence, may miss work or social engagements.

Persistent nighttime bedwetting (nocturnal enuresis) is the most common issue of bladder control in childhood. The family can take comfort in the fact that the problem is common and children generally outgrow it. In the meantime, though, the agony continues. Frequent wetting can also damage the urinary tract.

Continence Clinic

Children with bladder control issues are evaluated and treated at our Continence Clinic. Our urologists and nurse practitioners are experienced at determining if there is a physical cause for the wetting and prescribing appropriate medications if needed. Additionally, they can prescribe behavioral and nutritional modifications to control the problem.

The 2-B-Dry Program

We have also established the 2-B-Dry Program to help children learn healthy voiding habits, achieve greater continence and prevent urinary infections and other problems associated with incontinence.

The 2-B-Dry Program, under the direction of Leslie Hsieh, M.D., is:

  • Based on the latest research and treatment modalities.
  • Designed to support each child’s specific needs in achieving dryness and better urologic health.
  • Proven to help many children achieve dryness.
  • Effective in facilitating optimal surgical outcomes.
  • Proven to restore self-esteem lost as a result of wetting problems.
  • Collaborative with patients’ primary care providers to best assist each child in achieving dryness.

What We Treat

  • Bedwetting
  • Daytime urinary incontinence
  • Recurrent UTIs (urinary tract infections)
  • Urinary symptoms like urgency and frequency
  • Constipation

What We Do

We provide customized therapies to address your child’s urinary and bowel issues, including urodynamics, biofeedback and tibial nerve stimulation.

To have your child evaluated for incontinence, please:

  1. Obtain a referral.  Most insurance plans will require your child’s primary care provider or pediatrician make a referral to our clinic.
  2. Have imaging studies ordered. Imaging studies need to be ordered by your child’s primary care provider for:
    • Day wetting or bedwetting (Abdominal X-ray; Renal and bladder ultrasound)
    • Kidney or urinary tract infection (Renal and bladder ultrasound; VCUG with contrast)
  3. Have imaging studies completed.
    • Rady Children’s outpatient radiology staff routinely and proficiently performs these studies. Results are immediately available to our medical providers to view in our clinic.
    • If you prefer, imaging studies can be done elsewhere. However, the guardian will need to obtain and bring copies of the films to our clinic on the day of the initial evaluation.
  4. Schedule an appointment through Central Scheduling at 858-966-5999.
  5. Arrive at the clinic 20 minutes before your child’s scheduled appointment so insurance needs and paperwork can be completed.

If your child has urgent medical needs, please have your primary care provider contact us. We look forward to helping your child “2-B-Dry.”

Note: The 2-B-Dry Program is only available at the Rady Children’s Main Campus location (7920 Frost Street, Suite 200).