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dysfunctional voiding

Dysfunctional voiding refers to voiding difficulties, usually in young girls, including urgency (the sense of having to run to the bathroom to void), painful urination, and especially infrequent urination. This is often the girl whose parents say she "holds her urine." She may crouch in a very characteristic posture, pressing her genitals on her heel to prevent urine from leaking ("Vincent's curtsy"). She may have frequent urinary tract infections. Habitual infrequent urination is the culprit. Constipation and stool withholding can lead to or aggravate the problem. Better fluid intake and better genital hygiene are often helpful, but the most basic treatment is to place the child on a timed voiding program to allow the bladder to restore normal bladder tone and function.

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