International Pediatric BBD (Bladder and Bowel Dysfunction) Clinic, part of Helena Clinic for pediatric medicine, is a unique and the largest specialized center in this part of Europe, dedicated to the comprehensive diagnosis, treatment, and long-term care of children with functional and neurogenic disorders of the urinary and digestive systems.

This multidisciplinary center provides a modern, empathetic, and highly specialized approach to children of all ages and their families. We offer not only expert medical care but also a sense of safety, knowledge, and continuous support.

What does the Helena BBD Center offer?

The Helena BBD Center is designed as an integrated, holistic system for diagnosis and therapy, where every child is approached individually, with full consideration of their developmental stage and emotional needs. Our goal is to provide the highest standard of medical care in a warm and supportive environment for the entire family.

Our services

Diagnosis of nephrological, urological, and gastroenterological disorders

Enuresis (nighttime/daytime wetting), incontinence, dysfunctional voiding, constipation, fecal incontinence, neurogenic bladder/bowel, functional abdominal pain, vesicoureteral reflux, and congenital anomalies of the urinary and digestive tracts

Advanced diagnostic procedures

Urodynamic studies, videourodynamics, uroflowmetry with EMG, electromyography, anorectal manometry, contrast-enhanced ultrasound (radiation-free), contrast voiding urosonography (ceVUS), pH-metry, urological and abdominal ultrasound

Pelvic floor rehabilitation

Gamified protocols, biofeedback therapy, EMG, neuromodulation, GIGER MD therapy, DNS concept, anal plugs, pelvic floor exercises

Additionally, individualized, multidisciplinary treatment programs and structured follow-up are available.

A multidisciplinary team – expertise with empathy

Our team is led by professor Andrea Cvitkovic Roic, an experienced pediatric nephrologist and pioneer of urodynamic diagnostics and functional urological therapy in Croatia and beyond. our Multidisciplinary team includes leading experts in various fields of pediatric medicine:

• • Pediatric nephrologists

• • Pediatric gastroenterologists

• • Urotherapists

• • Pediatric surgeons

• • Physiotherapists

• • Psychologists

• • Pediatric nurses with years of experience

All team members are specially trained to work with children affected by BBD and follow the latest international guidelines in functional urology and gastroenterology. We collaborate with leading European centers, ensuring continuous professional development and knowledge exchange.

State-of-the-art technology for gentle and precise diagnostics

Thanks to support from EU funding, the center is equipped with cutting-edge technology:

• • Digital platforms for progress tracking

• • EMG devices for pelvic floor muscle analysis

• • Pediatric urodynamics and videourodynamics equipment

• • GIGER MD therapeutic device

• • EMNG technology

• • Advanced contrast ultrasound systems

Support for the whole family

We understand how important emotional security is for a successful therapy process. That’s why we offer modernly furnished studio apartments for children and their parents, ensuring comfort during the multi-day diagnostic, therapeutic, and rehabilitation process

Who is the Helena BBD center for?

Our BBD Center provides care for:

• • Children with urinary or bowel dysfunction

• • Children with developmental disorders

• • Children post-surgery of the spine, urinary system, or intestines

• • Children with neurogenic bladder or bowel

• • Children with spinal anomalies, spina bifida, trauma, or tumors

• • Adolescents with complex diagnoses

• • Pregnant women (prenatal consultations) when fetal urological anomalies are suspected

Helena Clinic is the largest center in this region of Europe for pelvic floor rehabilitation in children, especially after surgery for spina bifida and anorectal malformations.

Our Vision

Through continuous investment in knowledge, technology, and a team-based approach, we aim to raise the standard of care for children with functional and neurogenic disorders of the urinary and digestive system in this part od Europe.

Welcome to BBD Pediatric Clinic! Want to arrange an appointment? Contact us with confidence!