International Urogynecology Journal

, Volume 25, Issue 8, pp 1015–1021 | Cite as

Posture and micturition: does it really matter how a woman sits on the toilet?

Clinical Opinion

Abstract

The position that we adopt to evacuate “waste matters” may potentially have an impact on the efficiency with which these are expelled. Proponents of squatting have eloquently described associated “health benefits” and have hinted that nonsquatters may be prone to urological, gynecological, and colorectal disorders. In this original piece of research, the effects of posture on micturition have been studied in various positions with interesting results.

Keywords

Micturition Posture Toileting Squatting 

References

  1. 1.
    Vincent SA (1966) Postural control of urinary incontinence. The curtsy sign. Lancet 2(7464):631–632PubMedCrossRefGoogle Scholar
  2. 2.
    Wennergren HM, Oberg BE, Sandstedt P (1991) The importance of leg support for relaxation of the pelvic floor muscles. A surface electromyograph study in healthy girls. Scand J Urol Nephrol 25(3):205–213PubMedCrossRefGoogle Scholar
  3. 3.
    Moore KH, Richmond D, Sutherst JR, Imrie AH, Hutton JL (1991) Crouching over the toilet seat: prevalence among British gynaecological outpatients and its effect upon micturition. Br J Obstet Gynaecol 98(6):569–572PubMedGoogle Scholar
  4. 4.
    Brieger GM, Mongelli M, Hin LY, Chung TK (1997) The epidemiology of urinary dysfunction in Chinese women. Int Urogynecol J Pelvic Floor Dysfunct 8(4):191–195PubMedGoogle Scholar
  5. 5.
    Rane A, Corstiaans A (2000) Does leaning forward improve micturition? J Obstet Gynaecol 20(6):628–629PubMedGoogle Scholar
  6. 6.
    Devreese AM, Nuyens G, Staes F, Vereecken RL, De Weerdt W, Stappaerts K (2000) Do posture and straining influence urinary-flow parameters in normal women? Neurourol Urodyn 19(1):3–8PubMedGoogle Scholar
  7. 7.
    Gupta NP, Kumar A, Kumar R (2008) Does position affect uroflowmetry parameters in women? Urol Int 80(1):37–40PubMedGoogle Scholar
  8. 8.
    Yang KN, Chen SC, Chen SY, Chang CH, Wu HC, Chou EC (2010) Female voiding postures and their effects on micturition. Int Urogynecol J Pelvic Floor Dysfunct 21(11):1371–1376Google Scholar
  9. 9.
    Rad S (2002) Impact of ethnic habits on defecographic measurements. Arch Iranian Med 5(2):115–117Google Scholar
  10. 10.
    Sikirov D (2003) Comparison of straining during defecation in three positions: results and implications for human health. Dig Dis Sci 48(7):1201–1205PubMedGoogle Scholar
  11. 11.
    Rane A, Lim YN, Corstiaans A (2003) The effect of “leaning forward position” and “near squat position” on uroflowmetric parameters. Int Urogynecol J 14[Suppl 1]:S59Google Scholar
  12. 12.
    Rane A, Corstiaans A (2008) Does micturition improve in the squatting position? J Obstet Gynaecol 28(3):317–319PubMedGoogle Scholar
  13. 13.
    Balakrishnan SS, Kannan K, Corstiaans A, Abdullah AR, Rane A (2007) Comparison of Intra-abdominal and Intravesical Pressures in Sitting and Squatting positions. Townsville Australia: Penang Hospital Malaysia, Mater MisericordiaeTownsville Australia;. Presented in IUGA 2010. http://www.ics.org/Abstracts/Publish/105/ScientificProgramme.pdf
  14. 14.
    Dietz HP (2004) Ultrasound imaging of the pelvic floor. II. Three-dimensional or volume imaging. Ultrasound Obstet Gynecol 23:615–625PubMedGoogle Scholar
  15. 15.
    Dietz HP, Steensma A, Hastings R (2003) Three-dimensional ultrasound imaging of the pelvic floor: the effect of parturition on paravaginal support structures. Ultrasound Obstet Gynecol 21:589–595PubMedGoogle Scholar
  16. 16.
    Koestler A (1960) On Zen. Encounter. Oct; p. 85Google Scholar

Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  1. 1.The Townsville & Mater Hospitals, Department of Ob-GynJames Cook UniversityTownsvilleAustralia

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