Effect of Diaphragmatic Training on Urgency Urinary Incontinence in Postmenopausal Women

Cairo University (CU)

Status: Completed

Conditions: Postmenopausal Disorder; Urinary Incontinence; Urge Incontinence

Treatments: Other: Instructions including bladder training; Drug: anti muscarinic drugs; Other: abdominal exercise; Other: pelvic floor muscle training (PFMT); Other: Diaphragmatic Training

Study type: Interventional

Funder types: Other

Identifiers

NCT06521008

sandy PHD

Details and patient eligibility

About

The purpose of this study was to determine the effect of diaphragmatic training on urgency urinary incontinence in postmenopausal women.

Full description

Urgency urinary incontinence affects 9-13% of women, increasing with age and impacting daily activities, quality of life, depression, and social isolation. It is a significant source of dependency among the elderly and a factor in nursing home admissions. Untreated incontinence can lead to falls, infections, and loss of independence. Conservative management is the first-line therapy, but pelvic floor muscle training is a potential treatment method. This study aims to evaluate the effectiveness of diaphragmatic training on urinary incontinence in postmenopausal women.

Enrollment: 60 patients

Sex: Female

Ages: 55 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Postmenopausal women suffer from UUI.
• They will be multipara more than 1.
• Their age will range from 55-65 years old.
• Their body mass index (BMI) will range from 25-29.9 kg/m2..
• They will experience menopause at least for 3 years.

Exclusion criteria

• Urinary tract infection
• Previous surgery for urinary incontinence
• Upper motor neuron diseases
• History of genito-urinary cancer
• Previous pelvic irradiation
• Pure stress urinary incontinence
• Genital prolapse
• Diabetes mellitus
• Pace maker

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Selctive drugs

Experimental group

Description:

consists of 20 women. They will receive selective anti Muscarinic drugs (5-10 mg) once per day for 12 weeks and instructions including bladder retraining.

Treatment:

Other: Instructions including bladder training

Drug: anti muscarinic drugs

Pelvic floor and abdominal strengthening

Experimental group

Description:

consists of 20 women. They will receive the same treatment in group (A), pelvic floor muscle training (PFMT) and abdominal strengthening 3 sessions/week for 12 weeks.

Treatment:

Other: pelvic floor muscle training (PFMT)

Other: abdominal exercise

Other: Instructions including bladder training

Drug: anti muscarinic drugs

diaphragmatic training

Experimental group

Description:

consists of 20 women. They will receive the same treatment in group (B), in addition to diaphragmatic training 3 sessions/week for 12 weeks.

Treatment:

Other: Diaphragmatic Training

Other: Instructions including bladder training

Drug: anti muscarinic drugs