Children are most often toilet trained by age four with only very few episodes of incontinence. After the age of four, your child may require pelvic floor therapy in order to achieve daytime and/or nighttime dryness. OT works with children who may be experiencing urinary incontinence, urgency, retention, or frequency. They address fecal urgency, constipation, and incontinence, as well as nocturnal enuresis (bedwetting). OT will work closely with each child and family to focus on developing home programming, dietary recommendations, and pelvic floor muscle strengthening to achieve goals.