Preoperative Pelvic Floor Muscle Training in Female Urinary Incontinence

Launched by GULHANE SCHOOL OF MEDICINE · May 2, 2025

Keywords

ClinConnect Summary

This clinical trial is studying the effects of pelvic floor muscle training (PFMT) for women who experience stress urinary incontinence (SUI), a common condition that causes involuntary leakage of urine during activities like laughing, coughing, or exercising. The goal is to see if doing pelvic floor exercises before surgery can improve muscle strength and reduce symptoms, making surgery less necessary or more effective.

To participate in this trial, women must be between the ages of 18 and 65 and have been diagnosed with SUI by a doctor. They should be able to actively contract their pelvic floor muscles and have no significant anatomical issues or previous pelvic surgeries. Participants will receive guidance on specific exercises and are expected to follow the training program closely before their surgery. This study aims to find better ways to help women manage their urinary incontinence and improve their overall health outcomes.

Gender

FEMALE

Eligibility criteria

• Inclusion criteria for the study:
• • Being a woman between the ages of 18-65
• • Being diagnosed with SUI or SUI-predominant mixed type urinary incontinence by an obstetrician-gynecologist
• • Having active pelvic floor muscle contraction
• • No genital anatomical abnormality
• • Being able to understand and follow verbal and written instructions
• • The patient was referred to physiotherapy at least 6 weeks before the planned surgery date
• • Patients performed 75% or more of the given exercises (categorized as adequate compliance)
• Exclusion criteria for the study:
• • Not volunteering to participate
• • Being pregnant
• • Having had previous pelvic floor surgery
• • Having received previous pelvic floor physiotherapy
• • Having a vaginal or urinary infection
• • Being unable to tolerate pelvic floor muscle function measurement
• • Having a neuromuscular or neurological disease that may affect muscle function