Effect of Pelvic Floor Down-training on Women With Idiopathic Overactive Bladder
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Behavioral modification, Pelvic floor down-training.
- Who it may be relevant to
- Registry conditions: Overactive Bladder. Basic parameters: 30 years — 45 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This study will be conducted to investigate the effect of pelvic floor down-training on women with idiopathic overactive bladder
Detailed description
The relationship between overactive bladder (OAB), constipation, and overactive pelvic floor muscles is complex and interrelated. OAB increases the likelihood of overactive pelvic floor muscles, and conversely, hyperactive pelvic floor muscles can exacerbate OAB symptoms. Non-relaxing pelvic floor dysfunction often presents with urinary symptoms, including increased frequency, hesitancy, urgency, dysuria, bladder pain, and occasionally urge incontinence Pelvic floor down-training exercises targeting the rectum provide a safe, conservative way to manage constipation, which may in turn help relieve OAB. Unlike medications or surgery; these exercises are generally safe and easy to incorporate into daily life. However, more studies are needed to evaluate their effectiveness, especially for treating idiopathic OAB in women. Filling this research gap will provide clearer clinical guidance on managing the interplay between OAB, constipation, and pelvic floor hyperactivity. So this study will be the first to investigate the effect of pelvic floor down-training on symptoms of idiopathic OAB in women.
Interventions
- Behavioral Behavioral modification
It includes: .- Reducing or eliminating smoking and carbonated drinks. * Weight loss in overweight or obese individuals. * Caffeine Reduction: Limiting caffeine intake, especially for those consuming at least 400 mg per day. * Consume Adequate Water: 6 to 8 glasses of water per day. * Refrain from consuming fluids 2 to 3 hours before bedtime. * Identify Bladder Irritants: such as sugar substitutes, citrus fruits, and tomato. * Increasing fiber intake like fruits, and vegetables to reduce const - Other Pelvic floor down-training
Pelvic floor down training exercises aimed at promoting relaxation and deconditioning of the pelvic floor muscles (PFM). It will be practiced three sessions per week for 8 weeks. Biofeedback-Assisted pelvic floor down-training: Procedure: * Rectal biofeedback will be inserted. * The therapist asks the woman to focus on consciously relaxing and releasing the PFM after each contraction or exercise while watching biofeedback screen. * Then, breathe deeply and fully into her abdomen, allowing her
Primary outcome measures
- Rectal resting pressure [Time frame: 8 weeks]
- Rectal bearing pressure [Time frame: 8 weeks]
- Overactive Bladder Symptom Score (OABSS): [Time frame: 8 weeks]
- Assessment of overactive bladder symptoms [Time frame: 8 weeks]
- Assessment of quality of life [Time frame: 8 weeks]
- Constipation scoring system [Time frame: 8 weeks]
- Five-item score for obstructed defecation syndrome (ODS-S) [Time frame: 8 weeks]
Eligibility criteria
Inclusion criteria
- Multiparous woman with idiopathic OAB (2-3 times) who diagnosed by physician and confirmed by the urodynamic study.
- Woman with high rectal resting tone measured by pressure biofeedback.
- Woman diagnosed with constipation according to the Rome IV criteria and Bristol score.
- Ages ranging from 30 to 45 years.
- BMI from 25-29.9 Kg/m2
Exclusion criteria
Women will be excluded from the study if they have:
- Severe OAB as measured by the overactive bladder symptom score for severity
- Postmenopausal women (a point in time 12 months after a woman's last period.)
- Any abnormalities around the bladder, such as bladder cancer, bladder calculus, interstitial cystitis, or endometriosis.
- Untreated urinary tract infections.
- Psychological or mental health problems.
- Pregnancy and lactation
- A history of previous pelvic surgery.
- Are receiving any pharmacological treatment at the time of the study.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Ayatullah Farouk Abdel Fattah — Cairo
Identifiers
NCT: NCT06662565 · P.T.REC/012/005319