How Do We Treat Bed Wetting at Night With Pelvic Sole Physiotherapy?

Bedwetting problem at night is a health condition that should not be
expected to pass over time and should be taken care of by families. When left
untreated, it can lead to serious problems that affect the lower urinary tract.
Identifying the conditions that cause complaints and then starting treatment
prevents more complex health problems that may occur in the future.
Team work is very important in pediatric pelvic floor rehabilitation. We, as a
team, approach the child with bedwetting problem holistically.

It should be very well established that it is caused by bedwetting at night
before starting treatment. After the underlying cause of the problem is
found, the most appropriate treatment should be started for the child without
losing time. If the bedwetting complaint is accompanied by other health
problems such as constipation, teeth clenching, sleep apnea, it is definitely
added to the treatment.
– Night alarm: It is a system consisting of a sensor that detects wetness
and a device that makes sound. It is attached to the child’s underwear
and wakes the child up by sounding the alarm with the detection of
wetness, and the rest of the urine is emptied into the toilet.
With the regular use of alarms, the pelvic floor muscles, which ensure the
retention of urine over time, begin to work reflexively, and thus the amount
of urine that the child empties into the toilet increases day by day. After a
while, no alarm goes off and dry nights begin.
Studies have shown that alarm therapy has a longer-lasting effect than drug
treatment. There are no known side effects. Without pelvic floor
rehabilitation, the child’s complaints may recur when alarms are used alone.
– Change in life habits: The symptoms of the complaint are reduced with
some changes in the child’s feeding and toilet habits.
– Pediatric pelvic floor rehabilitation: The pelvic floor muscles are located
in a horizontal position at the base of the pelvis. These muscles allow
them to hold pee and poop by contracting, and by relaxing, they
provide healthy urination and defecation. Pediatric pelvic floor
rehabilitation includes training the muscle groups that provide
shunting and defecation and rehabilitation approaches that support the
healthy functioning of their function.

– Treatment includes some manual therapy approaches, breathing
exercises, postural stabilization, bladder and bowel training, biofeedback
therapy, muscle stimulation , nutrition and exercise recommendations .
includes a detailed treatment session.