Actively Recruiting
Investigation of the Preoperative Effectiveness of Intensive Pelvic Floor Muscle Training in Women With Urinary Incontinence: a Randomized Controlled Trial
Led by Gulhane School of Medicine · Updated on 2025-05-08
60
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Pelvic floor muscles support pelvic organs and help control urination and bowel movements. Weakness in these muscles can cause problems like pelvic organ prolapse, urinary incontinence (UI), and sexual or anorectal disorders. Stress urinary incontinence (SUI), the most common type among women, occurs when urine leaks during activities that increase pressure in the abdomen. Risk factors include being female, aging, obesity, smoking, chronic constipation, past gynecological surgeries, and childbirth. This research aims to evaluate how effective intensive pelvic floor muscle training (PFMT) is before surgery in women with SUI, to guide better pelvic rehabilitation and possibly reduce the need for surgery.
CONDITIONS
Brief Title
Preoperative Pelvic Floor Muscle Training in Female Urinary Incontinence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Woman aged 18 to 65 years
- Diagnosed with stress urinary incontinence or stress-predominant mixed urinary incontinence by an obstetrician-gynecologist
- Able to actively contract pelvic floor muscles
- No genital anatomical abnormalities
- Able to understand and follow verbal and written instructions
- Referred to physiotherapy at least 6 weeks before planned surgery
- Completed at least 75% of the assigned exercises (adequate compliance)
You will not qualify if you...
- Not willing to participate
- Pregnant
- Previous pelvic floor surgery
- Previous pelvic floor physiotherapy
- Current vaginal or urinary infection
- Unable to tolerate pelvic floor muscle function measurement
- Neuromuscular or neurological disease affecting muscle function
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants receive pelvic floor knowledge and awareness training. Those in the exercise group also perform an intensive pelvic floor exercise program at home for 6 weeks, targeting fast and slow twitch pelvic floor muscle fibers. The exercise group has an interim check-up in the 2nd week to monitor progress.
1 to 2 visits (in-person)
Duration - 1 day
Participants return for a final check-up at the end of the 6-week period to evaluate changes in symptoms, pelvic floor muscle function, muscle contraction, incontinence severity, and pelvic floor health knowledge.
1 visit (in-person)
Trial Site Locations
Total: 1 location
1
Gülhane Education and Research Hospital, Department of Obstetrics and Gynecology
Ankara, Turkey (Türkiye)
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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