e-ISSN 1973-4913
Volume : 40 Issue : 4 Year : 2021
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pelviperineology. 2021; 40(1): 39-42 | DOI: 10.34057/PPj.2021.40.01.006

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

ANGEL GARCIA-FERNANDEZ1, JORGE GARCIA ANDRADE2, CARLA BECKER3, PETER PETROS4
1The National University of Córdoba, Córdoba, Argentina, 2Centro Urosalud Integral, Quito, Ecuador, 3Centro De Fisioterapia Uroginecologica Porto Alegre Brasil, 4Department of Surgery, University of New South Wales Professorial, St Vincent’s Hospital, Sydney, Australia (retired)

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.


Cite This Article

GARCIA-FERNANDEZ A, ANDRADE J, BECKER C, PETROS P. A follow-up study confirms day/night enuresis cure in children by squatting-based exercises. 2021; 40(1): 39-42

Corresponding Author: GARCIA-FERNANDEZ A.

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