Bladder & Bowel Dysfunction

Physician: Dr. Jessica Malach 

Our Bladder and Bowel Dysfunction Clinic at Boomerang Health accepts children and adolescents with concerns related to:

• Urinary and Fecal Incontinence
• Nocturnal Enuresis
• Constipation
• Encopresis
• Dysfunctional Voiding
• Urinary Frequency or Urgency

Pelvic Health Physiotherapy

The practice of Pelvic Health Physiotherapy includes the assessment, identification and treatment of conditions related to the bladder and bowel systems. A physiotherapist performs a thorough assessment of the condition through history taking and physical examination. Part of the assessment and reassessment includes an external examination of how well your child is able to contract their pelvic floor muscles. Then, a detailed treatment plan is established, taking into consideration the client’s lifestyle, activities, and goals. The treatment plan will include techniques and strategies to improve the symptoms of concern. Furthermore, physiotherapists play an integral role in health promotion.

Some children may be apprehensive about various aspects of a physical exam during assessment and treatment. Alternative options will be discussed with each client and their family. Pelvic Health Physiotherapy includes:

• Assessment of the back and hips, including movement, strength testing, neurological testing such as reflexes
• Assessment of the abdomen, including observation and/or palpation
• External exam of the pelvis, including observation of the perineum, groin, external genitals

An assessment/follow-up session may include but is not limited to:

• Discussion about the patient’s history
• Physical assessment or re-assessment
• Exercise instruction and practice
• Education on the patient’s condition and treatment options
  Goal setting
• Bowel or bladder tracking
• Toileting strategies
• Education on hydration and/or nutrition

Prices

Rehabilitation services, including pelvic health physiotherapy, are not covered by OHIP, but may be covered under your extended health insurance benefits. Check with your insurance provider for details. Appointments with our physicians are covered by OHIP.

Initial Assessment (Includes the assessment, education and treatment): $135.00

Treatment Session:

• $130.00 for 45 minutes
• $85.00 for 30 minutes

How to Book an Appointment

Please ask your child’s primary care doctor to send a referral request to Boomerang Health to our Bladder and Bowel Dysfunction Physician. We will then contact you to book an initial appointment. Your visit with our Bladder and Bowel Dysfunction Pediatrician Physician is covered under OHIP. Please ensure that you bring your health card to each visit.

To book an appointment with our Pelvic Health Physiotherapist, please call our clinic to book the initial assessment. Physiotherapy services are not covered under OHIP. A referral may be required if you have extended health benefits. Check with your insurance company prior to booking an appointment.

AboutKidsHealth

For more information related to Bladder and Bowel Dysfunction, please visit the following pages on AboutKidsHealth, SickKids’ trusted health education website for children, youth, and their caregivers:

• Bladder Retraining
• Bowel Management Program for Fecal Incontinence
• Constipation
• Functional Constipation: Your Child’s Treatment Plan