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

This letter proposes a squatting-based pelvic floor rehabilitation regime as a conservative alternative to surgical intervention for pediatric functional constipation and related bladder/bowel disorders. The approach differs from traditional Kegel exercises and is grounded in musculoelastic theory of pelvic floor function, with evidence from premenopausal women showing efficacy for bladder, bowel, and chronic pain conditions.