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Areas of Care

Urodynamics Testing Clinic

About us

Urodynamics refers to a series of diagnostic tests that evaluate the function of your child’s bladder and urethra. Urodynamics tests provide valuable information to aid in the accurate diagnosis of your child’s urinary problems.

Contact us

If you are calling to inquire about your child’s referral from your family doctor or preliminary consultation clinic appointment, call 416-813-6661.

Press #1 – General Info
Press #2 – Referral Info
Press #3 – Dr. Armando Lorenzo or Dr. Darius Bägli
Press #4 – Dr. Walid Farhat, Dr. Martin Koyle, Dr. Frank Papanikolaou or Dr. Roberto Iglesias-Lopes
Press #5 – Dr. Joana Dos Santos or the fellows

If you are calling to inquire about your child’s surgery please contact the surgeon’s administrative staff directly.

Staff contacts for Drs. Bägli and Lorenzo


Davika Ram - Surgical Bookings, Clinical Assistant
416-813-6465
davika.ram@sickkids.ca

Jessica Rosales - Administrative Assistant, Observership/Residents
416-813-6899
jessica.rosales@sickkids.ca

Staff contacts for Drs. Farhat, Papanikolaou and Koyle

Lisa Abreu - Fellowship Coordinator, Administrative Coordinator
416-813-6580
lisa.abreu@sickkids.ca

Britney Dwyer - Surgical Bookings, Clinical Assistant
416-813-6465
Fax: 416-813-6461
britney.dwyer@sickkids.ca

If you cannot come to your scheduled clinic appointment or have a question about your appointment, call the clinic clerk at 416-813-6661. We will try our best to schedule another appointment as soon as possible, based on availability. You may need to leave a message due to the high volumes of calls received. If you leave a message you can expect to hear back from us within 24 hours.

Clinic/registration location

If this is your child’s first visit to SickKids you need to register for your appointment at Clinic Registration near the Atrium entrance on Elizabeth Street. Arrive early so you have enough time to register.

If this is a return visit to SickKids you need to register in the Urology Clinic on Unit 5D.
The Urology Clinic is located on the fifth floor of the Atrium. Take the Atrium elevator to the fifth floor and look for the D sign. That will lead you to 5D.

When you register, a SickKids identification (ID) band will be placed on your child. The band must be worn on your child's arm or ankle at all times. Check your child's ID band to make sure the information is correct. If your child is not wearing a band or has the wrong one, it can lead to errors that can result in the wrong care for your child. Staff must always check the band before providing care to your child. Your child must keep the band on at all times while at SickKids.

If you or your child are sick before your appointment

Call the clinic if you or your child have had a cold, cough, diarrhea, fever or rash within two days of your appointment, or have been sick with or exposed to chicken pox in the last three weeks. Your appointment may need to be rescheduled. 

Tell the clerk, nurse or doctor if your child has been in a hospital outside of Canada within the last 12 months. 

If you cannot come to your child’s appointment, it is important that you call the clinic as soon as possible to cancel and reschedule.

Be on time

If you are late, you may have to wait for other patients to be seen first. Allow lots of time to get to the hospital. It can take some time to get used to finding your way around and it is important to be on time for your child’s appointment. Staff will try to see your child as close to your appointment time as possible. Please understand that some patients being seen ahead of you may need more time than expected, and this can cause delay for others.

Bring the following

  • You must show valid health-care coverage at every visit. If you do not, you will be required to pay a fee for the visit, unless coverage or insurance can be verified.

Proof of health-care coverage must be valid at the time of visit (not expired).

    • If you live in Ontario, show your child’s valid Ontario Health Insurance Plan (OHIP) card.
    • If you live in another province, show your child’s provincial health-care card.
    • If you are a refugee claimant, show your child’s Interim Federal Health Program (IFHP) certificate.
    • If you have private health insurance, show the appropriate information or documentation.
    • If you are receiving support from a Community Health Centre (CHC), show a letter from the CHC.
  • Your appointment card or letter
  • Toys, books, nut-free snacks, diapers and formula to keep your child comfortable and occupied in case there is a wait
  • Any medical information, such as referral letters, test results, information about current therapies, X-rays, MRIs, ultrasounds or CT scans
  • All medications your child is currently taking (in original packaging), including alternative and complementary treatments
  • Urine and/or blood reports

Important pre-appointment instructions

Your child may have been asked to complete a bladder diary or questionnaire. If so, please bring this with you to the appointment.

Try not to bring other children to the appointment

If other children must come, please consider taking them to the Play Park during your visit. The Play Park is a free, fun and safe place for brothers and sisters of patients to play. It is open Monday to Friday from 8:30 a.m. to 4 p.m. and weekends from 11:30 a.m. to 3:15 p.m. It is located on the Main Floor of the Atrium, next to the parking elevators. All children over 2 ½ years of age are welcome. Trained staff and volunteers will watch your children carefully. You do not need to book in advance to use the Play Park. The Play Park number is 416-813-8884.

Latex allergy

Call the clinic before coming to the hospital if your child or anyone coming with them has a known or suspected allergy to latex.

Accessibility

All visitor entrances on the Main Floor are wheelchair accessible. SickKids has several wheelchair-accessible washrooms on the Main Floor. Both male and female washrooms in the Atrium have large change tables where children and teens can have diapers changed. There is another private wheelchair-accessible washroom with a large change table on the Service Floor of the Black Wing in Room S213, across the hall from Rehabilitation Services. Wheelchairs are available near the Atrium and University Avenue entrances.

Assistance dogs for children or parents with disabilities are allowed at SickKids. Please make sure they are clean and have up-to-date immunizations.

Interpreter Services

If you need an interpreter, please call the clinic before your appointment so we can arrange for an interpreter. There is no charge for an interpreter. Please give us at least 24 to 48 hours' notice to make it easier for us to find an interpreter for you.

What to expect during your visit

Unless otherwise directed by your child’s doctor, your child should take their normally scheduled medications. Your child may eat and drink prior to the tests. These tests typically take 10-60 minutes. Your child will be able to resume all previous activities upon completion of the urodynamics tests.

Your child will need a full bladder for the flow rate test. It takes 20 to 30 minutes for liquid to get down to the bladder. If your child does not normally drink a lot of water or if your child has been ill, your child may be slightly dehydrated. If your child is dehydrated, it will take more water to fill the bladder. You can bring their favourite drinks from home or buy a drink in the hospital. Every child has a different bladder capacity. We want to do this test when your child feels a strong urge to urinate. A strong urge to urinate shows that your child's bladder is full. If your child is not ready for the test when you arrive at the clinic, encourage your child to drink water. When your child feels a strong urge to urinate, please tell the clerical staff at the front desk.

Once your child's bladder is full, the test will take about 5-10 minutes. Your child will have a bladder scan and will be asked to urinate into the flow rate toilet. Then your child will have a second bladder scan to see if any urine is left in the bladder.  

The full urodynamic study is also performed in our clinic and requires an empty bladder. The registered nurse will contact you before coming for this appointment and explain this test in details.

The video urodynamic study is performed in the Department of Diagnostic Imaging on the 2nd floor. If you are unsure about the location of the department, ask at the Main Reception near the Elizabeth Street entrance. This study also requires an empty bladder. The registered nurse will contact you before coming for this appointment and explain this test in detail.

At the end of this study, a doctor or nurse practitioner in the Urology Clinic will review the test results. If your family physician or paediatrician has sent your child for this test, the results will be forwarded to them.

If any referrals or follow-up appointments are needed, the clinic coordinator/clerk will be available to assist you with scheduling an appointment. At the end of the appointment, you will be given an appointment card or your appointment will be mailed to you, depending on booking availabilities.

More information:

Division of Urology