This project aims to develop and implement a universal, accessible, and sustainable program for the prevention, diagnosis, and treatment of pediatric incontinence among vulnerable children worldwide. The estimated number of children aged 4 to 15 affected by incontinence, considering a prevalence of 10%, amounts to 35,656,071 (1). The hypothesis is that standardized, culturally sensitive, and cost-effective approaches can overcome existing disparities in care, ensuring equal access to effective management of pediatric incontinence regardless of geography, socio-economic status, culture, religion, or education level.

The project is structured into five phases:
1.	Initial Analysis and Research: This includes a global epidemiological assessment of pediatric incontinence and a review of current diagnostic and treatment practices. The analysis focuses on identifying intersectional barriers (linguistic, cultural, religious, socio-economic) that limit access to care.
2.	Development of Universal Guidelines: Guidelines are formulated using clinical history, bladder diary, and uroflowmetry. Standardized treatment protocols prioritize non-invasive approaches, specifically urotherapy, with pharmacological treatments introduced only when strictly necessary (2).
3.	Training and Awareness: Healthcare professionals are trained at both local and international levels, while educational materials are provided for parents and teachers. Public awareness campaigns are designed to reduce stigma and discrimination.
4.	Program Implementation: Cost-effective diagnostic kits are distributed, and collaborations with international and local organizations are established to facilitate implementation in low-resource settings.
5.	Accessibility and Sustainability: Efforts include local production of materials, the development of a digital platform for information sharing, and the pursuit of long-term funding through NGOs, governmental entities, and private donors.

While full-scale implementation is ongoing, preliminary outcomes from pilot initiatives indicate:
•	Improved early diagnosis rates through standardized screening tools.
•	Increased acceptance and adherence to urotherapy as a first-line treatment.
•	Positive feedback from healthcare workers, educators, and families on training efficacy and educational materials.
•	Promising signs of reduced stigma in communities where awareness campaigns were launched.

The early indicators suggest that a globally standardized yet locally adaptable program is both feasible and effective. The integration of cultural competence and community engagement appears crucial in overcoming barriers to care. Non-invasive, affordable, and educationally supported approaches are especially well-received in underserved populations.

The Universal Project offers a practical, equitable, and sustainable solution for addressing pediatric incontinence on a global scale. If endorsed by the International Continence Society, the program could benefit from expanded visibility, increased funding, continuous training opportunities, and stronger international collaboration. This would significantly enhance the standardization of care and improve outcomes for children in the most vulnerable settings. By aligning clinical excellence with social justice, this initiative has the potential to transform the lives of countless children and their families worldwide.

United Nations, Department of Economic and Social Affairs, Population Division (2024). World Population Prospects: The 2024 Revision, custom data acquired via website
Nevéus, T., von Gontard, A., Hoebeke, P., et al. (2020). Management and treatment of nocturnal enuresis—an updated standardization document from the International Children's Continence Society. Journal of Pediatric Urology, 16(1), 10–19.