An anatomical rationale for a squatting-based pelvic floor regime to address bladder and bowel problems

Michael Levin's letter “Functional constipation in children: Is there a place for surgical treatment” has prompted me to respectfully introduce to your readers a squatting-based pelvic floor rehabilitation regime (PFR) which may be helpful in selected children before surgery is contemplated. We have found it works well in premenopausal women who have bladder, bowel and chronic pain conditions (Tables 1 & 2) [1,2]. This PFR is very different from Kegel-type exercises. It is based on a musculoelastic theory of bladder and anorectal function/dysfunction [3,4] (Fig.