[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"pelvic-floor-muscle-training\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:pelvic-floor-muscle-training":33},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,8,0,[8,49,81,116,142,164,193,231],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100626071","the-recover-study---postpartum-recovery-of-pelvic-floor-structures-and-the-impact-of-early-rehabilitation-100626071",false,"NCT07430865","The RECOVER Study - Postpartum Recovery of Pelvic Floor Structures and the Impact of Early Rehabilitation","The RECOVER Study - Recovery of Pelvic Floor Structure and Function After Vaginal Childbirth- a Longitudinal Cohort Study With an Embedded Pilot Trial","RECOVER","Inclusion Criteria:\n\n* Individuals (over 18 years) who delivered a single child vaginally between 37 and 41 weeks of gestation, with a birthweight of at least 2500 grams.\n\nExclusion Criteria:\n\n* Delivered via c-section\n* Multiparous with previous third- or fourth-degree tears\n* History of major urogynecological surgery\n* Known neurological disorder (e.g., stroke, multiple sclerosis) that could affect the assessment outcomes\n* Severe connective tissue disorders that could affect the assessment outcomes\n* New pregnancy of more than 6 weeks during the study period\n* Pain with vaginal penetration, tampon use, or gynecological examinations that would prevent participation in assessments\n* Visible signs for wound complications assessed via REEDA tool (redness, oedema, ecchymosis, discharge, approximation) will exclude the participants from the first ultrasound assessment and vaginal palpation.",true,"FEMALE","18 Years",{"count":21,"type":22},380,"ESTIMATED","INTERVENTIONAL",[25],"NA","The goal of this observational study with an embedded pilot clinical trial is to learn how the pelvic floor recovers after vaginal childbirth and whether early individualized pelvic floor muscle training can improve recovery in people who experience pelvic floor symptoms after vaginal delivery. The main questions it aims to answer are:\n\n* How do pelvic floor muscles and surrounding tissues change and recover during the first year after vaginal childbirth?\n* How are these structural changes and their recovery related to urinary, bowel, and vaginal symptoms?\n* In participants with pelvic floor symptoms after vaginal childbirth, does early individualized pelvic floor muscle training improve symptoms and support structural recovery compared with usual care?\n\nResearchers will compare participants who receive the early pelvic floor muscle training to those receiving standard postpartum care to see if the training helps improve pelvic floor function and reduce symptoms.\n\nParticipants will:\n\nAttend clinic visits at six weeks, and six months after childbirth\n\nComplete questionnaires about urinary, bowel, and vaginal symptoms, as well as physical activity and quality of life at six weeks, and four, six months, and twelve months after childbirth\n\nUndergo clinical pelvic floor assessments, including vaginal palpation of muscle strength, tone, and perineal body stability\n\nHave ultrasound examinations of the pelvic floor to assess muscle structure, tissue integrity, and perineal body morphology\n\nFor those in the pilot trial, participate in an early, individualized pelvic floor muscle training program\n\nThis study will provide important information about how the pelvic floor heals after childbirth, how structural changes are linked to symptoms, and whether early personalized training can help prevent long-term problems.",[28,29,30,31,32,33,34,35],"Urinary Incontinence","Pelvic Organ Prolapse (POP)","Bowel Symptoms","Postpartum","Physiotherapy and Rehabilitation","Pelvic Floor Muscle Training","Pelvic Floor","Recovery","RECRUITING","2026-05-21",{"date":39,"type":40},"2026-05-27","ACTUAL",{"date":42,"type":40},"2026-04-07",{"date":44,"type":22},"2029-12-31",{"name":46,"class":47},"Vastra Gotaland Region","OTHER_GOV",2,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":4,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":18,"minAge":56,"maxAge":57,"enrollmentInfo":58,"targetDuration":4,"studyType":23,"phases":60,"briefSummary":61,"conditions":62,"keywords":66,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":74,"completionDateStruct":75,"leadSponsor":77,"locationsCount":80},"100639970","effects-of-extracorporeal-shockwave-therapy-versus-pulsed-electromagnetic-field-therapy-in-females-with-sexual-dysfunction-100639970","NCT07584174","Effects of Extracorporeal Shockwave Therapy Versus Pulsed Electromagnetic Field Therapy in Females With Sexual Dysfunction.","Effects of Extracorporeal Shockwave Therapy Versus Pulsed Electromagnetic Field Therapy in Females With Sexual Dysfunction: a Randomized Controlled Trial","Inclusion Criteria:\n\n1. Female participants aged 20-50 years diagnosed with female sexual dysfunction (FSFI score \\\u003C26.55), reporting symptoms of reduced sexual desire, arousal dysfunction, orgasmic dysfunction, or dyspareunia.\n2. Premenopausal women in a stable sexual relationship for at least 6 months and sexually active during the previous month.\n3. Symptoms persisting for at least 3 months before enrollment.\n4. Ability to understand study procedures and provide written informed consent.\n5. Willingness to refrain from initiating any additional treatment for sexual dysfunction during the study period\n\nExclusion Criteria:\n\n1. Pregnancy or planned pregnancy during the study period.\n2. Pelvic surgery within the previous 6 months.\n3. Active pelvic inflammatory disease, genital infection, or unexplained vaginal bleeding.\n4. Neurological disorders affecting pelvic floor or sexual function.\n5. Severe pelvic organ prolapse, severe urinary incontinence, or significant pelvic anatomical abnormalities.\n6. Current hormonal therapy or use of medications known to affect sexual function, including antidepressants or antipsychotics.\n7. Severe psychiatric disorders or cognitive impairment limiting participation.\n8. Menopause or perimenopausal status.\n9. Uncontrolled systemic diseases such as diabetes mellitus, hypertension, cardiovascular disease, or thyroid disorders.\n10. Presence of malignancy, pelvic radiation history, or severe chronic pelvic pain disorders.\n11. Contraindications to ESWT or PEMF including cardiac pacemakers or implanted electronic devices, coagulation disorders, anticoagulant therapy, epilepsy, or metal implants in the pelvic region.\n12. Current participation in another clinical trial or receipt of physiotherapy for sexual dysfunction within the previous 3 months.","20 Years","50 Years",{"count":59,"type":22},90,[25],"This is a prospective, three-arm, parallel-group, assessor-blinded randomized controlled trial designed to compare the effectiveness of extracorporeal shockwave therapy (ESWT) combined with pelvic floor muscle training (PFMT), pulsed electromagnetic field stimulation (PEMF) combined with PFMT, and PFMT alone in Females with sexual dysfunction. Participants will be randomly allocated in a 1:1:1 ratio, and the study duration is 16 weeks, including an 8-week intervention period and an 8-week follow-up period.",[63,33,64,65],"Female Sexual Dysfunction (FSD)","Shock Wave","Pulsed Electromagnetic Therapy",[67,68,69,70],"extracorporeal shock wave therapy","pulsed electromagnetic filed therapy","pelvic floor muscles training","females sexual dysfunction","2026-05-14",{"date":73,"type":40},"2026-05-18",{"date":71,"type":40},{"date":76,"type":22},"2027-01-15",{"name":78,"class":79},"Benha University","OTHER",1,{"id":82,"slug":83,"hasResults":11,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":87,"eligibilityCriteria":88,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":89,"enrollmentInfo":90,"targetDuration":4,"studyType":23,"phases":92,"briefSummary":93,"conditions":94,"keywords":100,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":110,"completionDateStruct":112,"leadSponsor":114,"locationsCount":80},"100598777","dynamic-neuromuscular-stabilization-vs-pelvic-floor-muscle-training-in-women-with-stress-urinary-incontinence-100598777","NCT07075900","Dynamic Neuromuscular Stabilization vs Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence","Comparison of Effects of Dynamic Neuromuscular Stabilization Training and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence: A Randomized Controlled Trial","DYNA-SUI","Inclusion Criteria:\n\n* Female participants aged between 18 and 65 years\n* Diagnosed with stress urinary incontinence or stress-dominant mixed urinary incontinence by a specialist physician\n* Having the ability to voluntarily contract the pelvic floor muscles\n* Literate in Turkish\n* Willing and voluntarily consenting to participate in the study\n\nExclusion Criteria:\n\n* Pregnancy\n* Presence of urgency-predominant urinary incontinence symptoms or fecal incontinence\n* Inability to understand or cooperate with assessment procedures\n* Presence of any neurological or rheumatological disease\n* Severe cardiac or pulmonary disease\n* Uncontrolled diabetes mellitus or hypertension\n* Chronic liver and\u002For kidney failure\n* Advanced pelvic organ prolapse (greater than grade 2)\n* History of abdominal or pelvic surgery (including cesarean section) within the past year\n* History of spinal surgery\n* Current urinary tract infection\n* History of pelvic radiation therapy\n* Presence of spinal deformity\n* History of acute low back pain within the past 4-6 weeks\n* Receiving pelvic floor muscle training within the past three months","65 Years",{"count":91,"type":22},51,[25],"This randomized controlled trial aims to compare the pre- and post-treatment effects of Dynamic Neuromuscular Stabilization (DNS) training and Pelvic Floor Muscle Training (PFMT) on pelvic floor muscle function, pelvic floor morphometry, urinary symptoms, quality of life, sexual function, and physical activity levels in women with stress urinary incontinence (SUI).\n\nParticipants diagnosed with SUI by a specialist physician will be randomly assigned to one of three groups: DNS, PFMT, or a control group. Both DNS and PFMT interventions will be delivered as 12-week home exercise programs, performed five days a week and at least three times per day. To support adherence, participants will use an exercise diary. In addition, participants in the DNS and PFMT groups will attend the clinic twice a week for supervised sessions led by a physiotherapist.\n\nThe control group will receive a brochure containing lifestyle and bladder health recommendations but will not engage in any structured exercise program.",[95,96,33,97,98,99],"Stress Urinary Incontinence (SUI)","Dynamic Neuromuscular Stabilization","Muscle Morphology","Urinary Symptoms","Quality of Life",[101,102,103,104,105,106],"stress urinary incontinence","dynamic neuromuscular stabilization","pelvic floor muscle training","physical activity","quality of life","muscle morphology","2026-03-24",{"date":109,"type":40},"2026-03-25",{"date":111,"type":40},"2025-07-16",{"date":113,"type":22},"2026-12-30",{"name":115,"class":79},"Izmir Katip Celebi University",{"id":117,"slug":118,"hasResults":11,"nctId":119,"briefTitle":120,"officialTitle":121,"acronym":4,"eligibilityCriteria":122,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":123,"targetDuration":4,"studyType":23,"phases":125,"briefSummary":126,"conditions":127,"keywords":130,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":133,"lastUpdatePostDateStruct":134,"startDateStruct":136,"completionDateStruct":138,"leadSponsor":140,"locationsCount":80},"100600567","training-models-in-pelvic-floor-muscle-training-100600567","NCT07099170","Training Models in Pelvic Floor Muscle Training","Comparison of Training Models in Pelvic Floor Muscle Training in Healthy Adult Women","Inclusion Criteria:\n\n* Age 18 years or older\n* Female\n* Willingness to participate in the study\n\nExclusion Criteria:\n\n* Pregnancy\n* History of cesarean or vaginal delivery within the past 6 months\n* Previous pelvic floor muscle training\n* History of pelvic surgery\n* Currently receiving or having received treatment for pelvic organ prolapse",{"count":124,"type":22},60,[25],"Pelvic floor muscle training (PFMT) is an exercise approach designed to improve the strength, endurance, power, relaxation, or coordination of the pelvic floor muscles. It is recommended as a first-line treatment for urinary incontinence (stress, urge, mixed), pelvic organ prolapse, and fecal incontinence. Evidence also suggests its potential to enhance sexual function in both men and women.\n\nTo teach proper pelvic floor contraction, individuals must first learn the anatomical location, structure, and function of these muscles. Various teaching strategies can support motor learning, such as verbal cues (commands or imagery), visual input (anatomical models or illustrations), physical guidance (tactile feedback), and environmental adjustments (comfortable positions, safe space). Yet, the choice of teaching method in clinical practice is currently based only on experience, not evidence.\n\nThis study aims to compare the effectiveness of four different PFMT teaching models-brochure-based, verbal instruction-based, visual instruction-based, and external palpation-aided-in teaching correct pelvic floor contraction and improving awareness in healthy adult women. It will be conducted as a four-arm randomized controlled trial. Participants will be evaluated before the training, immediately after, and one week later.\n\nThe findings from this study will help identify the most effective and practical approach for teaching PFMT. Although the study is conducted with healthy women without pelvic symptoms, the results will inform better training strategies for individuals with pelvic floor dysfunction, including those with urinary problems, chronic diseases, or pregnancy-related pelvic floor issues. Ultimately, this research seeks to fill a gap in the current literature and contribute to more evidence-based clinical practice.",[128,129,33],"Pelvic Floor Muscle Exercise","Healthy Adult Women",[103,131,129,132],"pelvic floor muscle exercise","Comparison Models","2026-03-23",{"date":135,"type":40},"2026-03-27",{"date":137,"type":40},"2025-08-04",{"date":139,"type":22},"2026-06-30",{"name":141,"class":79},"Izmir University of Economics",{"id":143,"slug":144,"hasResults":11,"nctId":145,"briefTitle":146,"officialTitle":147,"acronym":4,"eligibilityCriteria":148,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":149,"enrollmentInfo":150,"targetDuration":4,"studyType":23,"phases":152,"briefSummary":153,"conditions":154,"keywords":4,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":156,"lastUpdatePostDateStruct":157,"startDateStruct":159,"completionDateStruct":161,"leadSponsor":163,"locationsCount":80},"100593654","dynamic-neuromuscular-stabilization-exercises-in-women-with-urinary-incontinence-100593654","NCT07009249","Dynamic Neuromuscular Stabilization Exercises in Women With Urinary Incontinence","Effects of Dynamic Neuromuscular Stabilization Exercises on Urinary Symptoms and Pelvic Floor Muscle Functions in Women With Stress Urinary Incontinence: A Single-Blind Non-Inferiority Clinical Study","Inclusion Criteria:\n\n* Female gender,\n* Voluntary participation in the study,\n* Aged between 18 and 62 years,\n* Ability to read and write in Turkish,\n* No mental disorders that would impair cooperation or comprehension,\n* Complaint of stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence.\n\nExclusion Criteria:\n\n* Prior history of pelvic floor muscle training,\n* Presence of any neurological disorder,\n* Pelvic organ prolapse stage II or higher,\n* Presence of fecal incontinence,\n* Pregnancy,\n* Lower extremity conditions that may affect pelvic alignment (e.g., leg length discrepancy, total hip arthroplasty),\n* Active lower urinary tract infection,\n* Presence of respiratory disorders such as chronic obstructive pulmonary disease or asthma,\n* History of hysterectomy.","62 Years",{"count":151,"type":22},62,[25],"Stress urinary incontinence (SUI) is defined by the International Continence Society as the complaint of involuntary leakage of urine during physical exertion, including sports activities, or during sneezing or coughing. In continent women, an automatic response-namely, a reflex pelvic floor muscle (PFM) contraction, also known as pre-contraction-occurs either prior to or during physical exertion. Although there is strong evidence supporting the effectiveness of pelvic floor muscle training (PFMT) in the treatment of SUI, there has been a growing interest in exploring alternative exercise-based interventions.\n\nDynamic Neuromuscular Stabilization (DNS) is a manual and rehabilitative approach developed by Professor Pavel Kolar. It is grounded in the scientific principles of developmental kinesiology and aims to optimize the function of the movement system. Currently, DNS is successfully employed in the rehabilitation of various neurological, musculoskeletal, pediatric, and sports-related injuries. DNS incorporates the subconscious and synergistic activation of the deep core muscles responsible for intra-abdominal pressure (IAP) regulation and spinal stability-namely, the diaphragm, transversus abdominis, multifidus, and pelvic floor muscles-as well as the global musculature.\n\nConsidering the potential mechanisms of DNS, we hypothesize that DNS exercises, through IAP regulation directed toward the pelvic cavity and contributing to stabilization, could serve as an effective and innovative approach for women with SUI.\n\nThe hypotheses of this study are as follows:\n\nH1.1: DNS is as effective as PFMT in reducing urinary symptoms in women with SUI.\n\nH1.2: DNS is as effective as PFMT in improving PFM function in women with SUI.",[95,96,33,98,155],"Biofeedback Training","2026-02-12",{"date":158,"type":40},"2026-02-17",{"date":160,"type":40},"2025-05-21",{"date":162,"type":22},"2026-05-01",{"name":141,"class":79},{"id":165,"slug":166,"hasResults":11,"nctId":167,"briefTitle":168,"officialTitle":169,"acronym":4,"eligibilityCriteria":170,"healthyVolunteers":11,"sex":171,"minAge":172,"maxAge":4,"enrollmentInfo":173,"targetDuration":4,"studyType":23,"phases":175,"briefSummary":176,"conditions":177,"keywords":180,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":184,"lastUpdatePostDateStruct":185,"startDateStruct":187,"completionDateStruct":189,"leadSponsor":191,"locationsCount":80},"100600764","effects-of-hypopressive-exercises-on-urinary-incontinence-and-erectile-dysfunction-after-radical-prostatectomy-100600764","NCT07101731","Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy","The Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy: A Randomized Controlled Trial","Inclusion Criteria\n\n* Male individuals diagnosed with prostate cancer who have undergone radical prostatectomy\n* Experiencing both urinary incontinence and erectile dysfunction\n* Age \\> 55 years\n* A score of 24 or higher on the Mini-Mental State Examination (MMSE)\n* Literate (able to read and write)\n* Willingness to participate in the study (signed informed consent)\n* Ability to voluntarily contract pelvic floor muscles\n* Ability to cooperate with the assessments and interventions used in the study\n\nExclusion Criteria\n\n* History of urinary incontinence before surgery\n* Congenital abnormalities of the urinary system\n* Presence of neurological disorders\n* History of transurethral resection of the prostate (TURP)\n* Diagnosis of chronic obstructive pulmonary disease (COPD) and\u002For chronic restrictive pulmonary disease\n* History of inguinal hernia\n* Previous or current history of radiation therapy\n* Surgical or postoperative complications that prevent early physiotherapy intervention (e.g., urinary tract infection, bladder neck stenosis)","MALE","55 Years",{"count":174,"type":22},30,[25],"This randomized controlled trial investigates the effects of hypopressive exercises on urinary incontinence and erectile dysfunction in men following radical prostatectomy. Participants will be randomly assigned to one of two groups: a control group receiving home-based pelvic floor muscle exercises and an experimental group receiving both pelvic floor muscle exercises and supervised hypopressive exercises twice per week. The study aims to determine whether the addition of hypopressive techniques, which target coordinated activation of the pelvic floor and abdominal muscles without increasing intra-abdominal pressure, offers greater improvements in urinary and sexual function. Primary outcomes include pelvic floor muscle strength and endurance, while secondary outcomes include urinary incontinence severity, erectile function, and quality of life.",[178,28,179,33],"Prostate Cancer (Post Prostatectomy)","Erectile Dysfunction Following Radical Prostatectomy",[181,28,182,33,183],"Radical Prostatectomy","Erectile Dysfunction","Hypopressive Exercises","2025-07-28",{"date":186,"type":40},"2025-08-03",{"date":188,"type":40},"2024-06-01",{"date":190,"type":22},"2025-11-15",{"name":192,"class":79},"Bartın Unıversity",{"id":194,"slug":195,"hasResults":11,"nctId":196,"briefTitle":197,"officialTitle":197,"acronym":4,"eligibilityCriteria":198,"healthyVolunteers":17,"sex":18,"minAge":199,"maxAge":200,"enrollmentInfo":201,"targetDuration":4,"studyType":23,"phases":203,"briefSummary":204,"conditions":205,"keywords":214,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":222,"lastUpdatePostDateStruct":223,"startDateStruct":225,"completionDateStruct":227,"leadSponsor":229,"locationsCount":80},"100597993","transperineal-ultrasound-as-a-biofeedback-tool-for-pelvic-floor-muscle-therapy-in-postpartum-patients-100597993","NCT07065708","Transperineal Ultrasound as a Biofeedback Tool for Pelvic Floor Muscle Therapy in Postpartum Patients","Inclusion Criteria:\n\n* Female participants\n* Aged 21 - 45 years old.\n* Within 4 months of a singleton, vaginal delivery\n\nExclusion Criteria:\n\n* Currently pregnant\n* Over 4 months since vaginal birth.\n* Previous caesarean delivery.\n* Previous pelvic floor surgery (eg. pelvic floor repair, continence surgery, cervicetomy,cosmetic pelvic floor procedures)\n* Neurological disorder affecting muscle contraction (eg. Guillan-Barre syndrome, motorneuron disease, multiple sclerosis)","21 Years","45 Years",{"count":202,"type":22},94,[25],"Regular and effective pelvic floor muscle exercises after vaginal birth are crucial in reducing the risk of pelvic floor disorders in women. Pelvic floor muscle exercises are generally encouraged by healthcare providers to their patients after birth. However, it is often difficult to confirm whether a patient is performing pelvic floor muscle contractions correctly. A supervised pelvic floor physiotherapy session allows a professional to assess the pelvic floor and give their verbal feedback to patients. However even in this setting, patient's are reliant on the physiotherapist and have no way to assess their own performance. The 'biofeedback approach' allows for the clinician and patient to visually assess and modify their performance and can potentially allow for more effective therapy and better engagement. Transperineal ultrasonography is a widely available, safe and non-invasive biofeedback tool that can used at the bedside in order to assess pelvic floor muscle contractions. Our aim is to assess if using transperineal ultrasound can enhance the ability of postpartum patients to perform effective pelvic floor muscle therapy.",[33,206,207,31,208,128,209,210,211,212,213],"Transperineal Ultrasound","Biofeedback Therapy","Pelvic Floor Disorder","Pelvic Floor, Obstetric","Pelvic Floor Dysfunction","Pelvic Floor Health After Childbirth","Physiotherapy","Physiotherapy Specialty",[103,215,216,217,218,219,220,221],"biofeedback","transperineal ultrasound","pelvic floor exercises","physiotherapy","pelvic floor dysfunction","pelvic floor disorder","pelvic floor contraction","2025-07-03",{"date":224,"type":40},"2025-07-15",{"date":226,"type":40},"2025-05-20",{"date":228,"type":22},"2026-09",{"name":230,"class":79},"Singapore General Hospital",{"id":232,"slug":233,"hasResults":11,"nctId":234,"briefTitle":235,"officialTitle":236,"acronym":4,"eligibilityCriteria":237,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":89,"enrollmentInfo":238,"targetDuration":4,"studyType":23,"phases":239,"briefSummary":240,"conditions":241,"keywords":4,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":245,"lastUpdatePostDateStruct":246,"startDateStruct":248,"completionDateStruct":250,"leadSponsor":252,"locationsCount":80},"100589698","preoperative-pelvic-floor-muscle-training-in-female-urinary-incontinence-100589698","NCT06957795","Preoperative Pelvic Floor Muscle Training in Female Urinary Incontinence","Investigation of the Preoperative Effectiveness of Intensive Pelvic Floor Muscle Training in Women With Urinary Incontinence: a Randomized Controlled Trial.","Inclusion criteria for the study:\n\n* Being a woman between the ages of 18-65\n* Being diagnosed with SUI or SUI-predominant mixed type urinary incontinence by an obstetrician-gynecologist\n* Having active pelvic floor muscle contraction\n* No genital anatomical abnormality\n* Being able to understand and follow verbal and written instructions\n* The patient was referred to physiotherapy at least 6 weeks before the planned surgery date\n* Patients performed 75% or more of the given exercises (categorized as adequate compliance)\n\nExclusion criteria for the study:\n\n* Not volunteering to participate\n* Being pregnant\n* Having had previous pelvic floor surgery\n* Having received previous pelvic floor physiotherapy\n* Having a vaginal or urinary infection\n* Being unable to tolerate pelvic floor muscle function measurement\n* Having a neuromuscular or neurological disease that may affect muscle function",{"count":124,"type":22},[25],"Pelvic floor muscles (PFM) play a crucial role in supporting pelvic organs and maintaining continence. Weakness in these muscles can lead to dysfunctions such as pelvic organ prolapse, urinary incontinence (UI), and sexual or anorectal disorders. UI, defined as the involuntary loss of urine, is common globally and classified as stress, urge, or mixed incontinence. Stress urinary incontinence (SUI) - the most prevalent type among women - occurs during activities that increase intra-abdominal pressure. Risk factors include female sex, aging, obesity, smoking, chronic constipation, previous gynecological surgeries, and childbirth. Treatment options for SUI include conservative and surgical methods. Pelvic floor training (PFT), first described by Arnold Kegel in 1948, is a conservative approach that strengthens PFM and alleviates symptoms. Although surgery is often used for SUI, with over 200 procedures described, this study aims to evaluate the preoperative effectiveness of intensive PFT in women with SUI. It will assess changes in muscle function and symptoms before surgery, guiding pelvic rehabilitation strategies to potentially reduce surgical burden and improve outcomes.",[242,243,33,244],"Women","Urinary Incontinence (UI)","Preoperative Period","2025-05-05",{"date":247,"type":40},"2025-05-08",{"date":249,"type":40},"2025-01-01",{"date":251,"type":22},"2025-09-01",{"name":253,"class":79},"Gulhane School of Medicine"]