The Wetting, Infections, and Stooling Help (WISH) Clinic at Children’s National Health System is dedicated to resolving recurrent urinary tract infections and wetting problems in children through a comprehensive and holistic interactive process.
“Between 60 and 70 percent of recurrent urinary tract infections, bedwetting, and daytime wetting can be related to habits,” says Naida Kalloo, MD, a pediatric urologist at Children’s National. “At the WISH Clinic, we educate parents and children about the behaviors that contribute to these conditions and provide tools they may use to take control.”
With a number of locations throughout Washington, DC, Maryland, and Virginia, the WISH Clinic is led by Dr. Kalloo, who works alongside three nurse practitioners, a clinical nurse specialist, and a pediatric urology nurse. Together, this group evaluates patients by performing in-depth, 30-minute assessments to address specific problems, such as bedwetting, daytime leakage, urinary infections, and associated constipation.
“The WISH Clinic provides a template that allows for extensive evaluation of and counseling for these conditions, which account for about 15 percent of all outpatient urology references,” says H. Gil Rushton, MD, Division Chief of Urology at Children’s National. “This comprehensive process offers a much better experience for patients and their families in comparison to being seen in a busy urology clinic. It is an invaluable part of the Division of Urology at Children’s National.”
Tests conducted by the WISH Clinic may include a comprehensive history and physical exam, a bladder scan, and urinalysis. Additionally, some cases require more in-depth tests, such as an abdominal X-ray, a renal bladder ultrasound, or urodynamic studies to measure bladder function.
Tailored Treatment for WISH Patients
Once WISH Clinic experts have determined the factors causing urinary and bowel complications, they work with parents to design treatment plans and provide educational materials for home reference.
“Many patients with recurrent urinary tract infections and wetting issues are constipated,” Dr. Kalloo says. “A comprehensive plan, including drinking, voiding, and bowel movement management, is often necessary for long-term resolution. The most important thing is for patients to be referred to us as soon as possible to we can give parents the power to help their children make positive changes.”
Find this article and others in Advancing Pediatrics, our quarterly physician publication.