The aim of this study is to compare the combined effects of Paula method \& tibial nerve stimulation on incontinence, pelvic floor muscles strength, sexual function and quality of life in stress urinary incontinence
Multiparous women (≥2 full-term vaginal deliveries)
Clinical diagnosis of stress urinary incontinence (confirmed by cough stress test)
Duration of symptoms ≥3 months
Ability to correctly perform pelvic floor contractions (confirmed by digital examination)
Neurological disorders (e.g., multiple sclerosis, spinal cord injury)
Mixed or urge urinary incontinence as the predominant type
Previous pelvic surgery or incontinence-related procedures within the past year
Current pregnancy or <6 months postpartum