Saint Etienne Du Rouvray

Stress urinary incontinence (SUI) affects many women worldwide and significantly impacts quality of life. This research aims to evaluate whether adding hip abductor training to standard pelvic floor muscle training (PFMT) can improve continence, physical abilities, and quality of life in women with SUI. The study compares two groups to explore this combined therapy's effect, including its impact on pelvic balance and muscle strength. Participants are randomly assigned to one of two groups: one group receives 12 supervised sessions of PFMT plus home-based pelvic floor muscle exercises, while the other group receives the same PFMT sessions combined with home-based hip abductor exercises. The hip abductor training is self-administered over 7 to 10 weeks alongside PFMT. Both groups follow a structured rehabilitation program to assess differences in outcomes. Throughout the study, researchers will monitor urinary leak frequency, pelvic muscle strength and endurance, symptoms of pelvic organ prolapse, and quality of life. Adherence to exercises and physical function such as pelvic balance will also be assessed. The primary outcome is the difference in the number of urinary leaks per week after 10 weeks of treatment, measured at the final physiotherapy session.