A follow-up study confirms day/night enuresis cure in children by squatting-based exercises

Journal Title: Pelviperineology - Year 2021, Vol 40, Issue 1

Abstract

Objective: In 2018, we reported 86% cure of day/night enuresis in a randomized controlled trial of 48 children applying three different squatting-based exercises. All children who were cured were by 4 weeks. A follow-up validation study which also aimed to assess whether singular squatting 10 times twice daily protocol was sufficient to cure day/night enuresis and whether most cures occur by 4 weeks. Materials and Methods: The study was conducted by three centres, Argentina, Brazil, Equador. Intended protocol: 10 squats twice daily for 4 months. Eligibility criteria were daytime urine leakage plus night-time bedwetting. Exclusion criterion was refusal to sign consent forms. Assessment was by intention to treat, criterion for cure was complete dryness. Results: When interrupted by the COVID virus, 25 cases had been assessed (ages: 6-11, one aged 17 years). Complete cure: Ecuador 5/8, Brazil 4/5, Argentina 7/12, 64% cure, plus 4 (16%) more than 50% improved, with no further changes noted after 4 weeks. The study were analysed with a McNemar’s test, with a null hypothesis of no treatment effect. Small numbers clouded definitive conclusions. Calculating 16/25 cured, the two-tailed p=0.2301; for 20/25 cured or improved, p=0.0051. Conclusion: The method is easily applicable, costs virtually nothing, does not require special equipment. It compares favourably with other methods such as bedwetting alarms. The results, 64% cure and 16% improvement support the 1st study, and we believe are sufficiently encouraging to recommend adoption by parents and therapists.

Authors and Affiliations

ANGEL GARCIA-FERNANDEZ , JORGE GARCIA ANDRADE , CARLA BECKER , PETER PETROS

Keywords

Related Articles

Case report: Application of the biomechanical model of Fascial Manipulation® in the case of vulvodynia

Vulvodynia is one of the more common pelvic floor dysfunction that women suffer from and affects up to 20% of women and is mostly seen as a dysfunction of the pelvis, lumbar spine and hip joint. It is not enough to base...

Provoked vulvodynia: diagnosis of perplexing pain condition

Provoked vulvodynia typically presents with pain during intercourse. The etiology of this condition has not been elucidated, and the diagnostic procedures are unfamiliar to many health care providers. In a series of pape...

Effects of the apical suspension of the upper vagina by cervicosacropexy or vaginosacropexy on stress and mixed urinary incontinence

Objective: Cervicosacropexy (CESA) and vaginosacropexy (VASA) are standardized surgical procedures to elevate and tighten the apical end of the vagina. A combination of CESA or VASA, and a transobturator tape was reporte...

Distinguishing sources of pain: Central vs peripheral mediation

Research in chronic pain often fails to distinguish the pain source: central vs peripheral. In this review, I lay out a case for a greater consideration of a peripheral pain source, namely myofascial trigger points. Find...

Download PDF file
  • EP ID EP693742
  • DOI 10.34057/PPj.2021.40.01.006
  • Views 150
  • Downloads 0

How To Cite

ANGEL GARCIA-FERNANDEZ, JORGE GARCIA ANDRADE, CARLA BECKER, PETER PETROS (2021). A follow-up study confirms day/night enuresis cure in children by squatting-based exercises. Pelviperineology, 40(1), -. https://europub.co.uk./articles/-A-693742