Refractory incontinence in children: Is there hope?

Incontinence has major psychological, physiological, and financial implications for children and their families.

Urinary and fecal incontinence, the involuntary leakage of urine or stool, is a common problem among both adults and children. Although most patients will improve with behavioural therapy and medication, 1% of patients will become refractory, not responding to any treatment. Sadly, these patients are currently condemned to a lifetime of poor self-esteem, shame, isolation, poor school performance, aggressiveness, and other behavioural challenges.

Students:

Dr. Joana Dos Santos

MD, MHSc

Medical Urologist, Urology, The Hospital for Sick Children, Assistant Professor, Department of Paediatrics, University of Toronto
Medical Urologist, Assistant Professor

Edyta Marcon

BASc, PhD, MHSc

Senior Research Associate, Donnelly Centre, University of Toronto, Course Instructor, Translational Research Program, University of Toronto
Senior Research Associate, Course Instructor

Dr. Reza Vali

MD, MHSc

Nuclear Medicine, Diagnostic Imaging, SickKids, Medical Imaging, University of Toronto
Radiologist, Assistant Professor

Capstone Supervisor:

Prof. Rich Foty

PhD
IHPME, Dalla Lana
Needs Translator, Course Director & Faculty Advisor

Capstone Advisory Committee:

Martin

MD, MSc, FAAP, FACS, FRCS (Eng.), FRCSC
SickKids
Head Urology

Dean

MD, MSc, FRCSC
Princess Margaret Cancer Centre (UHN), Toronto General Hospital (UHN), Toronto Western Hospital (UHN)
Academic Urologist

Darius Jehan

MDCM, FRCSC, FAAP, FACS
SickKids
Urologist

Sickkids Parents and Children’s Bladder and Bowel Dysfunction Advisory Board

Refractory incontinence in children: Is there hope?

Dr. Joana Dos Santos

MD, MHSc

Medical Urologist, Urology, The Hospital for Sick Children, Assistant Professor, Department of Paediatrics, University of Toronto
Medical Urologist, Assistant Professor

Edyta Marcon

BASc, PhD, MHSc

Senior Research Associate, Donnelly Centre, University of Toronto, Course Instructor, Translational Research Program, University of Toronto
Senior Research Associate, Course Instructor

Dr. Reza Vali

MD, MHSc

Nuclear Medicine, Diagnostic Imaging, SickKids, Medical Imaging, University of Toronto
Radiologist, Assistant Professor

Incontinence has major psychological, physiological, and financial implications for children and their families.

Urinary and fecal incontinence, the involuntary leakage of urine or stool, is a common problem among both adults and children. Although most patients will improve with behavioural therapy and medication, 1% of patients will become refractory, not responding to any treatment. Sadly, these patients are currently condemned to a lifetime of poor self-esteem, shame, isolation, poor school performance, aggressiveness, and other behavioural challenges.

Capstone Supervisor:

Prof. Rich Foty

PhD
IHPME, Dalla Lana
Needs Translator, Course Director & Faculty Advisor

Capstone Advisory Committee:

Martin

MD, MSc, FAAP, FACS, FRCS (Eng.), FRCSC
SickKids
Head Urology

Dean

MD, MSc, FRCSC
Princess Margaret Cancer Centre (UHN), Toronto General Hospital (UHN), Toronto Western Hospital (UHN)
Academic Urologist

Darius Jehan

MDCM, FRCSC, FAAP, FACS
SickKids
Urologist

Sickkids Parents and Children’s Bladder and Bowel Dysfunction Advisory Board