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SickKids

Biofeedback Clinic

Location:
555 University Avenue, Urology Clinic, 5D, 5th Floor
Phone:
416-813-6661

About the Clinic

Biofeedback is a recognized non-pharmacological, non-invasive therapy for children with lower urinary tract symptoms. 

Pre-appointment Instructions

What to bring: 

  • Urine and/or blood reports 

Directions: 

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. 

What to Expect During Your Visit

The Biofeedback Program includes six sessions. 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 first appointment, you will be given an appointment card including all your biofeedback appointments. Staff will try to see your child as close to your appointment time as possible. 

The initial session is 60 minutes long, which includes a detailed history, familiarization with biofeedback therapy, setting goals and expectations, and a flow rate with EMG test (if not done previously). To maintain child awareness and a sense of control over pelvic floor function, homework is assigned and carried out daily. Homework involves several key elements: timed voiding diary, optimal toilet posture, active relaxation practice, double-voiding strategies if large post-void residual, bowel routine diary, practicing Kegel exercises at home (duration/repetitions individualized), and adequate fluid intake according to the age of the child. Each additional session is 30 minutes in length. Sessions are booked bi-weekly or monthly depending on distance. Patients complete a flow rate test prior to each biofeedback session. 

At each visit we will assess the child’s progress and adapt biofeedback games as the child progresses. You will have lots of time to ask questions and give feedback on your child’s plan of care and assigned homework. 

Biofeedback therapy should be fun! 

If your child does not show any improvement within several sessions or within 3 months, we re-assess motivation and compliance, bowel and bladder pattern, and refer the child back to the physician or nurse practitioner for further assessment and diagnostic testing. 

More information: 

Visit Division of Urology 

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. Martin Koyle or Dr. Frank Papanikolaou
Press #5 – Dr. Joana Dos Santos or the Fellows 

If you cannot come to your scheduled clinic appointment or have a question about your appointment, call the clinic. 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.

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. 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 

Coming to a clinic appointment

It's important to come prepared and be on time for a clinic appointment. Visit Coming for Clinic Appointments to read appointment guidelines that are applicable for most clinical appointments at SickKids.

You’ll find information on how to prepare and what to bring, what to do if you/your child are sick before your appointment or you need to cancel,  and important things to know about the SickKids philosophy.

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