Extracorporeal Shock Wave Therapy to Kegel's Exercise in Management of Female Stress Urinary

Stress urinary incontinence (SUI) is a common pelvic floor disorder among women, especially those with a history of childbirth, aging, or pelvic surgery. Stress urinary incontinence is defined as the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing. The condition significantly affects quality of life, emotional well-being, and daily functioning.

Inclusion Criteria: * Married Females * Diagnosed with stress urinary incontinence, confirmed by clinical evaluation. * Ability and willingness to perform KE and attend follow-up visits. * Accepting informed consent. Exclusion Criteria: * Mixed urinary incontinence. * Active urinary tract infection (symptomatic or laboratory) confirmed). * Known coagulopathy or ongoing anticoagulant therapy. * Neurological disorders (e.g., multiple sclerosis, stroke, spinal cord injury) or use of medications affecting bladder control. * Pregnancy or recent childbirth (within 6 months) * History of pelvic malignancy affecting urinary continence. * History of recent surgical intervention or indicated for surgery for urinary incontinence.