The Effect of Pre-operative Pelvic Floor Muscle Exercise on Surgical Outcomes in Women With Stress Urinary Incontinence (SUIPT)
Stress Urinary Incontinence
About this trial
This is an interventional treatment trial for Stress Urinary Incontinence focused on measuring Stress, Urinary, Incontinence, Pelvic, Physiotherapy
Eligibility Criteria
Inclusion Criteria:
- female
- minimum age of 18
- primary diagnosis of stress urinary incontinence by urogynaecologist
- on the surgical wait list for surgery to address stress urinary incontinence
Exclusion Criteria:
- currently pregnant or <6 months post-partum
- pelvic mass (es)
- pad test weight gain less than 1g at baseline testing
- no episode of SUI as demonstrated by a 3-day bladder diary
- having received more than 4 sessions of physical therapy in the past 5 years specifically for treating their symptoms of SUI
- detrusor instability as identified by routine urodynamics studies performed as part of the patient evaluation by the urogynaecologist
- prolapse (> POP-Q stage 2)
- are taking medications known to increase or alleviate incontinence
- not willing to cease other treatment for SUI treatment during the course of study
- fecal incontinence (e.g., pessary)
- prior urogynecological surgery to address urinary incontinence
- neurological impairments involving the central nervous system or the sacral nerves or known connective tissue disorders
- major psychiatric conditions which impact significantly with daily functioning and would prevent full participation in the study
- physical impairment that would prevent the participant from completing the 20-minute pad test (a major study outcome measure)
- in situ devices that would not be suitable for ultrasound testing
Sites / Locations
- Foothills Medical Centre
- School of Rehabilitation Therapy, Queen's University
- The Ottawa Hospital
- Montfort Hospital
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control
Pelvic Floor Therapy
Participants in the control group will not receive therapist-supervised intervention. An exercise sheet briefly describing pelvic floor muscle exercises will be provided, as would be the standard practice from most physicians.
Participants in the experimental group undergo and assessment and treatment by a registered physiotherapist. Treatments will include two sessions of biofeedback training, therapist-assisted strengthening exercises, and will a prescribed home exercise program to strengthen their pelvic floor muscles.