Effectiveness of Ultrasound-guided Pelvic-floor exercise on incontinence severity, Post-void residual volume and Frequency of urinary tract infection for Women with Stress urinary incontinence.

An eight-week randomized clinical trial will evaluate the effectiveness of ultrasound-guided pelvic-floor exercise (PFE) in women with stress urinary incontinence (SUI). A total of 220 women aged 18–65 years (110 per group) will be recruited. Participants will be randomly assigned to either an ultrasound-guided PFE group or a control group performing the same exercises without ultrasound guidance. Both groups will attend two 45-minute sessions per week for eight weeks. The primary outcomes are urine leakage (measured by a 1-hour pad test) and post-void residual (PVR) volume assessed via ultrasound. Secondary outcomes include urinary tract infection (UTI) indicators such as pus cells and other urinary components. Women with pregnancy, recent postpartum status, pelvic surgery history, or other medical exclusions will not be included. The trial aims to determine if real-time ultrasound biofeedback improves exercise effectiveness in managing SUI symptoms.