# Immediate and Sustained Resolution of Persistent Primary Monosymptomatic Enuresis Following Fascial Counterstrain Therapy: A Case Series

## TL;DR

Three adolescents with long-term bedwetting saw immediate and lasting improvement after a specific manual therapy called Fascial Counterstrain.

## Contribution

This case series reports the first instances of sustained resolution of persistent enuresis using Fascial Counterstrain therapy.

## Key findings

- All three adolescents stopped bedwetting within 24 hours of Fascial Counterstrain therapy.
- Symptoms remained resolved for 10 to 24 months without further treatment.
- The results suggest urogenital fascial restrictions may play a role in some cases of enuresis.

## Abstract

Primary monosymptomatic enuresis (ME) that persists into adolescence presents significant physical and psychosocial challenges and is often resistant to conventional therapies. This case series describes three adolescents (aged 10, 12, and 15 years) with persistent, nightly ME who experienced immediate and sustained resolution of symptoms following Fascial Counterstrain (FCS) therapy. FCS is a multi-system manual therapy that applies an indirect osteopathic approach to restricted anatomical dysfunction and is well tolerated. In this study, FCS techniques associated with urogenital dysfunction were identified and treated in three adolescent cases. In each case, cessation of bedwetting occurred within 24 hours of the FCS session. Long-term follow-up at 10 to 24 months demonstrated continued resolution without the need for further treatment. These findings indicate that urogenital fascial restrictions may contribute to ME in some patients; however, further controlled research is required to validate these observations and explore the underlying physiological mechanisms.