MONDAY, Oct. 29 (HealthDay News) -- One less thing for toddlers'
parents to stress over: A new study finds that toilet-training
methods aren't the cause of urinary problems in children.
Whatever method parents choose -- early toilet training with
firm direction or a more child-oriented approach in which training
begins when the child shows interest and willingness -- makes no
difference, researchers say.
"Don't get hung up on how to do it," said lead researcher Dr. Joseph Barone, an associate professor of surgery and a pediatric urologist at UMDNJ-Robert Wood Johnson Medical School in New Brunswick, N.J.
"The most important thing is that you begin the toilet training somewhere between 27 and 32 months," he added.
Proponents of each method are adamant, Barone said. "But, in
reality it doesn't matter which method you use -- what matters is
that you do it," he said.
Study co-author Marc Colaco, a medical student at UMDNJ-Robert
Wood Johnson Medical School, agreed that either choice is fine.
"This is a debated topic over which way is best to toilet-train your child, but both lead to good outcomes," Colaco said.
The report was published in the Oct. 29 issue of
For the study, the researchers compared the two methods of
toilet training in children aged 4 through 12. One group of 147
children didn't have urinary problems after training, while the
other group of 58 children had ongoing problems including accidents
or the need to urinate often.
Neither method was more effective than the other, and there was
no link between either training method and later urinary
The method of toilet training isn't as important as making sure
not to create a traumatic atmosphere, said Dr. Kristin Kozakowski,
a pediatric urologist at Miami Children's Hospital in Florida.
Either method works "as long as the parents are not being
negative, but providing positive reinforcement," she said. "Every
child is going to have accidents."
Many parents use various combinations of methods, said
Kozakowski, who was not part of the new study.
"But, even when parents do the best job they can, some kids still hold to the last possible second. That's what causes the problems later on," she said. "It's hard to know if it's the child's personality or if something happened or if they are afraid of the toilet. Some of these things have to do with the child himself and others have to do with the surrounding environment."
Kozakowski advises parents that children will usually be toilet
trained when they're ready. "Parents shouldn't make it into an
argument or a negative traumatic experience, which could lead to
problems later on," she said.
Tips for Trouble-Free Toilet Training
When you think it's time, Barone and Peter Stavinoha, a clinical
psychologist at Children's Medical Center of Dallas, offer these
tips for getting kids trained:
If a child is 4 or 5 and still not staying dry during the day,
or if you suspect a physical cause, discuss it with your
pediatrician, they say.
To learn more about potty training, visit the
American Academy of Family Physicians.
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