Combined Paula exercises and tibial nerve stimulation for stress urinary incontinence

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled trial enrolling 56 multiparous women with clinically confirmed stress urinary incontinence at a clinic in Lahore. Participants are randomized to two groups: one receives Paula exercises plus tibial nerve stimulation, and the other receives Paula exercises alone; both groups also receive baseline pelvic floor muscle contraction training. Treatments occur twice weekly for eight weeks, and outcomes include urinary function, pelvic floor muscle strength, sexual function, and quality of life measured with IIQ-7, the Modified Oxford Scale, FSFI, and SF-36. Data will be analyzed using SPSS to compare changes between groups.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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)

Exclusion Criteria:

* 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
* Pelvic organ prolapse beyond stage II (POP-Q system)
* Current use of other incontinence therapies (e.g., medication, PTNS, PFMT)
* Diagnosed malignancy
* Diagnosed psychiatric disorder
* Pregnancy
* Diagnosed dermatological condition
* Participants who are currently enrolled in other clinical trials to avoid potential confounding factors.

Where it's running

• Arshian Hussnain Medical Clinic
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Principal investigator: sobia ghafoor, MSPT-OM — Riphah International University
• Study coordinator: imran amjad
• Email: imran.amjad@riphah.edu.pk
• Phone: 03324390125

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.