Health Condition 1: N393- Stress incontinence (female) (male)
Conditions
Interventions
Intervention1: Medical Yoga therapy along with Pelvic Floor Muscle Training (PFMT): Medical yoga: A set of unique 21 postures, one day (60 min duration) per week directly supervised session for 8 week
Sponsors
Mala Bhowmik
Eligibility
Inclusion criteria
Inclusion criteria: i. Ambulatory women with the age group between 18 yrs to 60 yrs. ii. History of involuntary loss of urine for at least 3 months that is a social or hygienic problem. iii. Documented for minimum 3 episodes of incontinence on a screening 3-day voiding diary. iv. Participants also agreed to be refrain from other treatment related to incontinence during the trial period. v. Positive cough stress test. vi. Women residing within 100 km in radius. vii. History of stress urinary incontinence according to International Continence Society (ICS). viii. Urine leakage >4gm measured by pad test with standardized bladder volume. ix. Willing to give consent for participation in study. They must be motivated to undertake yoga exercises if required. x. Understands English/Hindi/Bengali.
Exclusion criteria
Exclusion criteria: The women will be excluded if they, I. Severe mobility limitation that would prevent from participating in yoga session. Eg. Inability to walk two blocks on level ground or unassisted getting up from supine to standing position within 10 seconds or inability to walk up a single stair. II. Participants did not use practitioner-supervised pharmacological or clinical treatments for last 3 months. III. Woman with UI having any of the following symptom’s pain or hematuria (assessed by urine dipstick testing), recurrent infections, interstitial cystitis or chronic pelvic pain, suspected or proven voiding problems, or significant pelvic organ prolapse. IV. Abnormal bladder function (residual urine >50 ml and maximal uroflow V. Women who had delivered a baby in last 6 months. VI. Women suffering from pelvic malignancy, h/o radical surgery and/or irradiation or anti-incontinent surgery/urethral surgery/or pelvic surgery. VII. Those taking diuretics and/or excessive caffeine. VIII. Women with neurological or psychiatric disorders, uncontrolled diabetes mellitus.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average frequency of stress urinary incontinence episodes using validated 3-days voiding diary.Timepoint: Baseline, 4 weeks, 8 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Changes in the frequency of stress incontinence, any daytime incontinence, night-time incontinence, daytime voids in toilet, nighttime voids in toilet assessed by 3 days voiding diary. 2. Quality of life as measured by ICIQ-UI SF (International Consultation on Incontinence Modular Questionnaire-Urinary Incontinence) Short Form. Timepoint: Baseline, 4 weeks, 8 weeks;1.Cough stress test 2. Pad test 3. Uroflowmetry. 4.USGTimepoint: Baseline, 8 weeks | — |
Countries
India
Contacts
Public ContactDr Jeyadeepa R
IPGMER and SSKM Hospital
Outcome results
None listed