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

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.