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Preoperative Pelvic Floor Muscle Training in Female Urinary Incontinence

RecruitingNAAges 18 Years - 65 YearsFemaleGulhane School of Medicine
NCT06957795 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

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 20

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📋 Eligibility rules (as published)
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
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What it tests

  • Intensive Pelvic Floor Exercise Program
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Where

1 site
Gülhane Education and Research Hospital, Department of Obstetrics and Gynecology
Ankara, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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