Effectiveness of Pelvic Floor Muscle Training and Education for Urinary Incontinence in Nepalese Women Ages 18 to 45

What this Trial Is About

Urinary incontinence UI is a common condition among women that causes involuntary urine leakage and can affect quality of life, social interactions, and mental health. This research aims to evaluate the effectiveness of pelvic floor muscle training PFMT for UI among Nepalese women, addressing a gap in local studies and adapting assessment tools for the Nepali language. The study will compare education alone versus education combined with PFMT to better understand treatment options for UI in this population. Participants will first receive education about UI, pelvic floor muscles, and lifestyle advice, including techniques like the knack and weight management. Then, women will be randomly assigned to either only receive education or education plus a supervised PFMT program consisting of twelve weekly face-to-face sessions. The PFMT exercises will be personalized using observation, vaginal palpation, and a manometer device to guide contraction strength and duration. Participants will also be encouraged to perform daily exercises at home and keep an exercise diary. Participants will be involved for one year, with assessments at baseline, 12 weeks, 6 months, and 12 months. The main measure is the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form ICIQ-UI SF. Additional evaluations will assess self-efficacy in performing PFMT and muscle contraction strength using a rating scale and manometer. Data collected will help develop future guidelines for managing UI in Nepalese women.

The Effect of Pelvic Floor Muscle Training for Urinary Incontinence in Nepalese Women