Medical Center: 210-615-1600 | Downtown: 210-704-4708

Bladder and Bowel Dysfunction (BBD) Clinic


Bladder and bowel dysfunction-BBD, (also known as dysfunctional elimination syndrome) is a condition in which bowel issues such as constipation and encopresis are linked to urinary symptoms. Due to the fact that the rectum and the bladder share similar nerve control (from the spine) and the same pelvic floor muscle support, issues with bowel movements may trigger urinary symptoms. Lower urinary tract symptoms may include urinary incontinence, urgency, frequency, holding maneuvers, etc. Sometimes BBD may be accompanied by recurrent urinary tract infections. While these issues can significantly affect quality of life, children may also be at risk for significant health risks due to urinary tract infections with fever, concurrent urinary reflux, and even kidney damage. In addition to this, BBD is frequently seen in children with behavioral and neuropsychiatric disorders such as attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD).


Pediatric Urology of San Antonio, PLLC has developed the Bladder and Bowel Dysfunction Clinic to assist you in caring for patients with voiding dysfunction, recurrent urinary tract infections, urinary incontinence, constipation, and enuresis (daytime and night-time wetting).


The Bladder and Bowel Dysfunction Clinic is conveniently located at our medical center location. Our experienced multidisciplinary team includes board certified pediatric urologists, board certified pediatric nurse practitioners and pediatric medical assistants that share in the development and implementation of a comprehensive, specific treatment plan for each child.

Visits are scheduled for approximately one hour and include a combination of assessment, counseling, diagnostic procedures and individual care plan development for each child, which may include:

  • Bladder ultrasound for measurements of urine volumes pre- and post-void
  • Uroflow
  • Urinalysis and/or urine culture
  • Medication management
  • Establishment of voiding routines
  • Assessment of barriers to adherence
  • Nutritional education
  • Behavioral therapy and relapse prevention recommendations.
  • When indicated, biofeedback/pelvic floor physical therapy may be prescribed which is performed in-house by our dedicated and knowledgeable staff.

We look forward to assisting you!