Original Article

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



Pelviperineology 2019;38(4):126-129


To analyse whether the squatting-based pelvic floor regime based on the Integral Theory System would assist children with nocturnal enuresis.


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 influence the proposed study. The origin of bed-wetting was said to be essentially unknown. Analysis of the xrays, however, confirmed 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 floor 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 floor regime.