Advanced Treatment of the Pediatric Pelvic Floor

January 16-17, 2021

This course will expand on knowledge from the more basic pediatrics courses to help the physical therapist treat more complicated bowel and bladder difficulties in pediatric clients. It will discuss both evaluation and treated strategies for the more complicated pediatric bowel and bladder issues. It will also cover common bowel and bladder issues that occur in neurologically involved child. Participants will learn about several pediatric bowel and bladder surgeries and the pelvic floor treatment for these children post surgically. Participants will also learn more about connective tissues diseases and their effect on the bowel and bladder. It will cover respiratory diseases in children and the effect on the pelvic floor. The participants will leave the course with practical treatment ideas for improving bowel and bladder function in the complicated child and teenager whether they are a pediatric or pelvic floor physical therapist.

Course Objectives

Upon completion of this course, participants will be able to:

  1. Identify breathing patterns and their effect on the pelvic floor.
  2. Describe the effects that pediatric bladder surgeries have on the pelvic floor and how to treat these with pelvic floor therapy.
  3. Explain how connective tissue dysfunction can affect bowel and bladder function.
  4. Describe and analyze the current research on pelvic floor physical therapy for children and synthesize it for treatment.



Cost -  


Earned credits -  

13.5 contact hours or CCU’s through TPTA and TOTA

Registration - Register online


Dr. Carina Siracusa graduated from physical therapy school at Ohio University in 2005 with her Doctorate in Physical Therapy. She went on to work as a pediatric physical therapist at Genesis Outpatient Rehabilitation in Zanesville, Ohio, where she treated a variety of congenital and acquired conditions in children from ages birth to 18. Her primary caseload at this time consisted of mostly neurologic conditions. In 2009, she received her Certificate of Achievement of Pelvic Physical Therapy and her Certificate of Achievement in Obstetric Physical Therapy from the American Physical Therapy Association Section on Women’s Health. In 2010, she began teaching the CAPP Pelvic courses for the Section on Women’s Health around the United States. In 2012, she became the committee chair for the CAPP Pelvic Committee and helped to re-write all three levels of the Certification courses. In 2014, she began working for Ohio Health in Columbus, Ohio, as one of the primary therapists in the neuroincontinence program, as well as the wheelchair clinic supervisor.

In 2015, Carina authored and began teaching the course “Bowel and Bladder Treatment of the Pediatric Client: Birth to 18”. She has taught this course both nationally and internationally. She has also authored and taught the course “Bowel and Bladder Treatment of the Client with Neurologic Dysfunction”.

She has presented at multiple national and international conferences on the topic of bowel and bladder treatment, including the International Continence Society, The International Urogynecologic Association meeting, the World Confederation of Physical Therapy, and the International Seating Symposium. She continues to promote the need for pelvic floor treatment for clients with neurologic dysfunction throughout the world.


Day 1

  • 08:00-08:30  Introduction
  • 08:30-09:30  Bladder extrophy:  surgery and treatment
  • 09:30-10:30  Hirschprung’s:  surgery and treatment
  • 10:30-11:00  Imperforate anus and treatment
  • 11:00-12:00  Modalities for treatment in pediatric pelvic floor
  • 12:00-01:00  LUNCH
  • 01:00-02:00  Connective tissue disorders (EDS): treatment and effect on the pelvic floor
  • 02:00-03:00  Lung issues and effect on pelvic floor
  • 03:00-04:30  Advanced treatment strategies for pelvic floor patents

Day 2

  • 08:00-09:00  Gender and the pediatric client
  • 09:00-09:45  DRA in the pediatric client
  • 09:45-11:00  Teenage pelvic pain (endo, vaginismus)
  • 11:00-12:00  Research for pediatrics
  • 12:00-01:00  LUNCH
  • 01:00-02:00  Female Athletes
  • 02:00-03:00  Male Pelvic floor issues
  • 03:00-03:30  Transitioning to adult services
  • 03:30-04:00  Cases

A morning break and an afternoon break will be provided each day


Wyndham Medical Center
6800 Main
Houston, Texas 77030
Nightly rate: $115.00 (price varies based on room availability)

Ask for Texas Children’s Hospital ESP Rate

Hotel Registration link