Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy Gynecology and Obstetrics

Background: Bladder dysfunction is a term used to define most functional problems of the bladder that occur following ptosis which result in incontinence. Purpose of the study: was to investigate the effect of osteopathy on mechanical bladder dysfunction. Subjects, Materials and Methods:Twenty volunteer women suffering from stress urinary incontinence due to mechanical bladder dysfunction diagnosed by ultrasonography, were selected from Kidney and Urinary Tract Center, El Mansoura University. Their age was less than 55 years old. And their body mass index did not exceed 35 kg/m2. They were divided randomly into two equal groups. Group (A) (control group) consisted of 10 female patients were treated by kegel exercise, 2 times / week for 8 weeks and group (B) (osteopathic group) consisted of 10 female patients were treated by kegel exercises in addition to osteopathic treatment, 2 times /week for 8 weeks. Assessment of all women in both groups was carried out before and after treatment program through perineal ultrasound, osteopathic bladder testing for adhesions and King{u2019}s Health Incontinence Questionnaire. Results: Perineal ultrasonography study revealed that there were no statistical significant difference between the two groups, while the degree of stress urinary incontinence measured by king{u2019}s health incontinence questionnaire was significantly decreased in study group (B) more than control group (A). Conclusion: Adding osteopathy to kegel exercise had a great positive effect on stress urinary incontinence as a manifestation of mechanical bladder dysfunction than kegel exercise alone

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