Actively Recruiting
Preoperative Pelvic Floor Muscle Training in Female Urinary Incontinence
Led by Gulhane School of Medicine · Updated on 2025-05-08
60
Participants Needed
1
Research Sites
34 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Pelvic floor muscles (PFM) play a crucial role in supporting pelvic organs and maintaining continence. Weakness in these muscles can lead to dysfunctions such as pelvic organ prolapse, urinary incontinence (UI), and sexual or anorectal disorders. UI, defined as the involuntary loss of urine, is common globally and classified as stress, urge, or mixed incontinence. Stress urinary incontinence (SUI) - the most prevalent type among women - occurs during activities that increase intra-abdominal pressure. Risk factors include female sex, aging, obesity, smoking, chronic constipation, previous gynecological surgeries, and childbirth. Treatment options for SUI include conservative and surgical methods. Pelvic floor training (PFT), first described by Arnold Kegel in 1948, is a conservative approach that strengthens PFM and alleviates symptoms. Although surgery is often used for SUI, with over 200 procedures described, this study aims to evaluate the preoperative effectiveness of intensive PFT in women with SUI. It will assess changes in muscle function and symptoms before surgery, guiding pelvic rehabilitation strategies to potentially reduce surgical burden and improve outcomes.
CONDITIONS
Official 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 urinary incontinence-predominant mixed urinary incontinence by an obstetrician-gynecologist
- Has active pelvic floor muscle contraction
- 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 assigned exercises (adequate compliance)
You will not qualify if you...
- Not willing to participate
- Pregnant
- Previous pelvic floor surgery
- Prior 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
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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