The goal of this clinical trial is to learn if a mobile app-guided pelvic floor rehabilitation program works as well as standard in-person pelvic floor rehabilitation to treat urinary leakage in adult women.
The main question it aims to answer is:
Does the app program improve quality of life related to urinary leakage as much as in-person rehabilitation?
Researchers will compare the app-based program to in-person rehabilitation to see if both lead to similar improvements in quality of life.
Participants will:
Attend one medical visit before starting to confirm they are eligible Attend one in-person training session with a physiotherapist Follow either an app-based or an in-person pelvic floor rehabilitation program for 3 months Complete quality of life questionnaires at the start and at 4 months
age >18 years
stress urinary incontinence (SUI) or mixed urinary incontinence with predominance of SUI
more than one urinary incontinence episode for week in the last month
pelvic floor muscle strength equal or greater than 2 assessed by Oxford Modified Rating Score
indwelling urinary catheter
active pelvic neoplasia
pelvic organ prolapse grade greater than or equal to 2
active urinary tract infection or macroscopic hematuria