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Pelvic Floor Rehabilitation Programme for Women With Urinary Incontinence in a Peruvian Public Hospital
Sponsor: Hospital Nacional Edgardo Rebagliati Martins
Summary
This study evaluates whether a 12-week pelvic floor rehabilitation programme improves urinary incontinence symptoms in adult women treated at Hospital Nacional Edgardo Rebagliati Martins, a public tertiary hospital in Lima, Peru. Women referred by the Urology Service attend supervised group pelvic floor muscle training with a physiotherapist, together with individual sessions with a physiatrist that may include EMG biofeedback, electrical stimulation, transcutaneous tibial nerve stimulation, myofascial techniques or bladder training. The main question is whether symptom severity, measured with the ICIQ-SF questionnaire, improves between baseline and week 12. Participants are followed for 6 months.
Official title: Effectiveness of a Pelvic Floor Rehabilitation Programme in Patients With Pelvic Floor Dysfunction Treated at Hospital Nacional Edgardo Rebagliati Martins: A Prospective Pre-Post Study
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
89
Start Date
2026-08-03
Completion Date
2027-03-31
Last Updated
2026-10-05
Healthy Volunteers
No
Conditions
Interventions
Supervised group pelvic floor muscle training
Group sessions of about 45 minutes led by a physiotherapist, three times a week for 12 weeks (36 sessions). The physiotherapist follows a specific, standardised protocol organised in three progressive phases of 12 sessions each, covering pelvic floor, trunk and breathing exercises without equipment or manual contact. Groups include approximately six participants
Individual physiatrist-led pelvic floor sessions
Individual sessions delivered by the principal investigator. At every session, EMG biofeedback is used to show the patient how she contracts her pelvic floor, and she receives education tailored to the progress observed. Home exercises are not a standard set; they are individually prescribed and adjusted at each visit according to her progress, together with reinforcement of the exercises practised in the group sessions. Depending on clinical indication, sessions may also include surface electrical stimulation, transcutaneous tibial nerve stimulation, myofascial techniques or bladder training. Women with stress incontinence attend three sessions in month 1 and two per month thereafter, while those with urgency or mixed incontinence attend four sessions per month throughout.
Locations (1)
Hospital Nacional Edgardo Rebagliati Martins
Lima, Lima Province, Peru