Comparing core stabilization (DNS) and pelvic floor exercises for women with stress urinary leakage

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

In this randomized controlled design, women aged 18–65 with specialist-diagnosed stress or stress-dominant mixed urinary incontinence are randomized to DNS, PFMT, or a control group. DNS and PFMT arms follow 12-week home exercise programs performed five days per week and at least three times per day, use exercise diaries, and attend twice-weekly supervised physiotherapy sessions; the control group receives a brochure with lifestyle and bladder health recommendations. Outcomes measured before and after the intervention include pelvic floor muscle function and morphometry, urinary symptoms, quality of life, sexual function, and physical activity. The trial compares functional and anatomical changes between the two exercise approaches and a non-exercising control.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Female participants aged between 18 and 65 years
* Diagnosed with stress urinary incontinence or stress-dominant mixed urinary incontinence by a specialist physician
* Having the ability to voluntarily contract the pelvic floor muscles
* Literate in Turkish
* Willing and voluntarily consenting to participate in the study

Exclusion Criteria:

* Pregnancy
* Presence of urgency-predominant urinary incontinence symptoms or fecal incontinence
* Inability to understand or cooperate with assessment procedures
* Presence of any neurological or rheumatological disease
* Severe cardiac or pulmonary disease
* Uncontrolled diabetes mellitus or hypertension
* Chronic liver and/or kidney failure
* Advanced pelvic organ prolapse (greater than grade 2)
* History of abdominal or pelvic surgery (including cesarean section) within the past year
* History of spinal surgery
* Current urinary tract infection
* History of pelvic radiation therapy
* Presence of spinal deformity
* History of acute low back pain within the past 4-6 weeks
* Receiving pelvic floor muscle training within the past three months

Where it's running

• Ege University, Faculty of Medicine, Department of Obstetrics & Gynecology
  Izmir, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Ayse Kardelen ACAR, MSc — Izmir Katıp Celebi University, Institute of Health Sciences
• Study coordinator: Sevtap GUNAY UCURUM, Professor
• Email: sevtapgunay.tfd@gmail.com
• Phone: +90 232 3293535/4717

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Kinesthetic Pelvic Floor Imagery Added to Exercises for Stress Urinary Incontinence

  In postmenopausal women with stress urinary incontinence, this study tests whether mentally rehearsing pelvic floor muscle contractions before doing the exercises helps reduce leakage.

  Recruiting Istanbul Medipol University Hospital · Istanbul, Istanbul · NCT07853755

• Compare two pelvic floor stimulation devices to see which helps with urinary incontinence in women

  We’re testing if electromagnetic chair therapy can help women with mixed urinary incontinence as well as standard electrostimulation with biofeedback.

  Recruiting at 2 sites Espacio Gaspar Clinic · Mendoza and 1 other locations · NCT07792031

• Hybrid Transobturator Tape vs Standard Synthetic TOT for Stress Urinary Incontinence

  This randomized trial tests whether a hybrid tape made from autologous tissue and polypropylene mesh works as well or better than a standard synthetic transobturator tape in women with stress urinary incontinence.

  Recruiting Benha University · Banhā, Qalyubia Governorate · NCT07762300

• Aerobic exercise and guided imagery for bowel problems after rectal cancer surgery

  This study tests whether a program of aerobic exercise plus guided imagery helps people with low anterior resection syndrome after rectal cancer surgery.

  Recruiting Biruni University · Istanbul · NCT07732894

• Expiratory Muscle Strength Training added to pelvic floor training for women with stress urinary incontinence

  This study tests whether adding expiratory muscle strength training to pelvic floor exercises helps improve urinary leakage in women with stress urinary incontinence.

  Recruiting Mustafa Kemal University · Hatay · NCT07693920

• Risk predictor for new urinary incontinence after prolapse surgery

  This study tests a model to predict which women might develop new stress urinary incontinence after pelvic organ prolapse repair.

  Recruiting Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine · Shanghai, Shanghai Municipality · NCT07601282

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.