Effects of Paula Exercises and Tibial Nerve Stimulation in Stress Urinary Incontinence

Inclusion Criteria: * Multiparous women (≥2 full-term vaginal deliveries) * Clinical diagnosis of stress urinary incontinence (confirmed by cough stress test) * Duration of symptoms ≥3 months * Ability to correctly perform pelvic floor contractions (confirmed by digital examination) Exclusion Criteria: * Neurological disorders (e.g., multiple sclerosis, spinal cord injury) * Mixed or urge urinary incontinence as the predominant type * Previous pelvic surgery or incontinence-related procedures within the past year * Current pregnancy or \<6 months postpartum * Pelvic organ prolapse beyond stage II (POP-Q system) * Current use of other incontinence therapies (e.g., medication, PTNS, PFMT) * Diagnosed malignancy * Diagnosed psychiatric disorder * Pregnancy * Diagnosed dermatological condition * Participants who are currently enrolled in other clinical trials to avoid potential confounding factors.