A randomized controlled trial of periodically supervised pelvic floor muscle training versus unsupervised pelvic floor muscle training in comprehensive management of stress urinary incontinence.

Stress Urinary Incontinence (SUI) is defined as an involuntary loss of urine occurring  as a result of raised intra abdominal pressure due to an exertion or on sneezing or coughing. The prevalence of stress urinary incontinence in the female population ranges from 10-40%. It is a long way to make the patients and society to get aware of stress urinary incontinence and it should be treated.Stress urinary incontinence has significant impact on women’s mental health, which leads to depression, anxiety, poor quality of life, low self-esteem, issues related to relationships which affects sexual life and reduced workplace productivity.Pelvic floor muscle training is the first line management of uncomplicated stress urinary incontinence. Performing pelvic floor muscle training with adequate training and frequency is an important factor for better outcome. About 30% of women cannot correctly identify the muscle to be contracted. Hence if biofeedback with perineometer could significantly decrease urine leakage and if improves the pelvic floor muscle strength, Pelvic floor muscle training with biofeedback may become first line of management.