Nocturnal enuresis in children-Literature review and anatomical rationale for a squatting-based pelvic floor regime

Angel Garcia Fernandez, Peter E. Petros

Research output: Contribution to journalArticlepeer-review

Abstract

Abstract: Aim To analyse whether the squatting-based pelvic foor regime based on the Integral Theory System would assist children with
nocturnal enuresis. Methods A literature review and an analysis of the anatomical rationale for a squatting-based regime was made with regard
to an RCT between two groups, a squatting-based regime based on the Integral Theory System and a placebo. CONSORT were guidelines to
be followed as regards randomization, blinding and independent assessment of results. Statistically, it was determined that 48 patients would
give 90% power with a CI of 95% allowing a 9% placebo effect. Results and conclusions The literature review of existing practice revealed
no insights which could infuence the proposed study. The origin of bed-wetting was said to be essentially unknown. Analysis of the xrays,
however, confrmed that the squatting-based regime of the Integral System would act on the same pubourethral and uterosacral ligaments
which are repaired surgically using tapes, and which give high cure rates for bladder, bowel and chronic pelvic pain dysfunctions. It was also
reasoned that the main difference between adults and children with reference to the Integral Systems’s pelvic foor regime was that children
are in a collagen formation mode, which should reinforce the ligaments in a better way than in adults, with superior results to those obtained
already in premenopausal adult women.
Keywords: Nocturnal enuresis; Squatting; Integral theory; Pelvic foor regime.
Original languageEnglish
Pages (from-to)126-129
Number of pages1
JournalPelviperineology
Volume38
Issue number4
DOIs
Publication statusPublished - 2019

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