The Effect of Pelvic Floor Muscle Training for Urinary Incontinence in Nepalese Women

The purpose of the study is to find the effectiveness of Pelvic floor muscle training (PFMT) for urinary incontinence (UI) among Nepalese women. After screening the women who meet the inclusion criteria will be included. Verbal and written consent will be taken from individual participants then the baseline questionnaire data containing socio-demographic variables and questions related to knowledge of UI, PFM and experience with PFMT and ICIQ UI SF will be collected. Then, a women's health physiotherapist will provide education about UI, PFM, PFMT and lifestyle advice. After the education session the randomisation of the participants into either education only (group A) or education plus PFMT (group B) 1:1 by concealed allocation (sealed envelope with A and B). After allocation, the participants will stay in their assigned intervention group for 1 year. After 12 weeks of the supervised intervention again ICIQ UI SF will be administered by a research assistant to both groups. In the 6th month again ICIQ UI SF will be administered by a research assistant to both groups. Finally, in the 12th month again ICIQ UI SF along with self-efficacy and knowledge questions will be assessed to find the effectiveness of the intervention. This data will help in the further development of the protocol or guideline for the Nepalese women.

Inclusion Criteria:Between age of 18-45 yearsICIQ grading above 3Understand Nepali languageWilling to be included in the studyPhone availabilityExclusion Criteria:PregnantPlanning for pregnancy within a 6 months periodWaiting for gynaecological surgeryHistory of bladder, renal, or uterine cancerMenopauseStage IV pelvic organ prolapseCognitive or mental disordersIllness to mother or family members, not making exercising possible