Pediatric Incontinence and Pelvic Floor Dysfunction – Rochester, NY

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When: June 1-2, 2019

Where: Rochester Regional Hospital, Rochester, NY

Audience: This course is for pelvic physical therapists and pediatric physical therapists.

CEUs: Approved for NY CEUs. Will update as more are approved.

Course Description:

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), by 5 years of age, over 90% of children have daytime bladder control. What is life like for the other 10% who experience urinary leakage during the day? Bedwetting is another pediatric issue with significant negative quality of life impact for children and their caregivers, with as much as 30% of 4-year-olds experiencing urinary leakage at night. Children who experience anxiety-causing events may have a higher risk of developing urinary incontinence, and in turn, having incontinence causes significant stress and anxiety for children. (Thibodeau et al., 2013) Having bowel dysfunction such as constipation is also a contributor to urinary leakage or urgency, and with nearly 5% of pediatric office visits occurring for constipation, the need to address these issues is great. (Constipation in Children, 2013) As pediatric bladder and bowel dysfunction can persist into adulthood, pelvic rehabilitation providers must direct attention to the pediatric population to improve the health in our patient populations.

The pediatric population is greatly underserved causing undo stress for the child and family as well as development of internalizing and externalizing psychological behaviors. The two most common pelvic floor dysfunctions in the pediatric population are dysfunctional elimination syndrome and bedwetting. This specialty continuing education course focuses on the treatment of children with day or nighttime incontinence, fecal incontinence, and/or dysfunctional voiding habits.

This course begins with instruction in anatomy, physiology, and in development of normal voiding reflexes and urinary control. The participant will learn terminology from the International Children’s Continence Society, medical evaluation concepts for bowel and bladder dysfunction, and common dysfunctions in voiding and defecation.  Common causes of incontinence in the pediatric patient will be covered, and a comprehensive approach to evaluation will be instructed including video examinations of the pelvic floor and surface electromyography (or SEMG, a form of biofeedback) as well as a breathing and bowel massage lab.


Constipation in Children. (2013). Retrieved June 9, 2014 from
Thibodeau, B. A., Metcalfe, P., Koop, P., & Moore, K. (2013). Urinary incontinence and quality of life in children. Journal of pediatric urology9(1), 78-83.
Urinary Incontinence in Children. (2012). Retrieved June 9, 2014 from


Dawn Sandalcidi PT, RCMT, BCB-PMD (Board Certified Biofeedback-Pelvic Muscle Dysfunction) specializes in: pelvic muscle dysfunction (incontinence and pain), orthopedic manual therapy, and TMJ treatment.  She is the leading expert in the field of pediatric incontinence in physical therapy. She has trained medical professionals in manual therapy since 1992 both nationally and internationally.

Dawn has actively been treating patients for the past 36 years and owns a private practice in Denver, Colorado, develops educational materials for health care providers through and provides consulting and education services through DSD PT Consulting.

Dawn received her degree in physical therapy in 1982 from SUNY Upstate Medical Center in Syracuse, New York.  She participated in extensive international postgraduate studies in manual and manipulative therapy of the spine and extremities in Germany, Switzerland and New Zealand. Dawn also received her BCB-PMD Board Certified Biofeedback in Pelvic Muscle Dysfunction and she was the 2018 recipient of the Elizabeth Noble Award from the section of Women’s Health of the APTA.

Dawn has been published in the Journal of Urologic Nursing, the Journal of Manual and Manipulative Therapy, Journal of the Section of Women’s Health and the Journal of International Association of Orofacial Myology.

Required Course Preparation: 

This is a beginning level course. There are no prerequisite courses. In an effort to provide you with more video demonstration and lab we are asking that you watch the online lectures and complete the required pre-readings/assignments prior to the class. This includes the online PowerPoint voiceover lectures and bladder diary PRIOR TO COMING TO THE COURSE. This will not be instructed in class and the class will not make sense to you if you have not prepared.

These lectures require 4 hours to complete in addition to any PFM videos watched (see below)

Attached you will find questions for each lecture. Please send your responses to the course facilitator prior to coming to the class.

If you have never had a pelvic floor course prior to coming to this course I strongly recommend reviewing your pelvic floor muscle anatomy.

For more information on pelvic floor anatomy you may look into the following resources;

The following sources listed below are free. ​

​An in-depth video of the PFM anatomy – 5:52 min

Pelvic Floor Part 1- The Pelvic Diaphragm – 3D Anatomy Tutorial 10:26 min

Pelvic Floor Part 2 – Perineal Membrane and Deep Perineal Pouch – 3D Anatomy Tutorial 7:17 min

Medbridge Education also offers my pediatric course online at:


40 available
Pediatric-Super Early Bird (until January 1, 2019)$550.00

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