Pediatric Pelvic Floor Dysfunction
Pelvic Floor Dysfunction is a broad term to describe many conditions that might occur when the pelvic floor muscles (PFM) are not working with the bladder and typical voiding reflexes are disrupted. While having a formal diagnosis (i.e. constipation, enuresis, bowel and bladder dysfunction, dysfunctional voiding) does not change a child's plan of care, it may better guide our treatment approach. Therefore, we may recommend testing or imaging from a primary care doctor.
What are some possible red flags for a child?
- Incontinent episodes during the day and/or night
- Constipation: small, hard stools with straining and/or a bowel movement less than every other day
- Frequent urinary tract infections
- Leakage (urinary or fecal)
- Frequent voiding (i.e. having to go to the bathroom more than normal)
- Incomplete bladder emptying or difficulty sensing if his/her bladder is full
- Pain or straining with bowel movements and/or urination
- Postponing or avoiding bowel movements/urinating by "holding it"; either on purpose or subconsciously
Why consider treatment?
Success can lead to better quality of life, as well as improved self-esteem and confidence!
Incontinent episodes are often due to underlying causes and are not the child’s fault, and nighttime incontinence that lasts more than 10 months after being potty trained is considered atypical. Treatment for Pediatric Pelvic Floor Dysfunction can help reduce a child’s anxiety about spending the night away from home due to incontinent episodes. Treatment can be successful: pelvic floor muscles can be trained.