Thesis (Ph.D)-Cairo University, 2025.

Bibliography: pages 91-123.

Purpose: This study was conducted to determine the effect of hip strengthening
exercises and pelvic floor exercises on stress urinary incontinence in postnatal
women. Subjects: One hundred twenty multiparous women, complaining from
mild or moderate degree of stress urinary incontinence participated in this study.
They will be selected from outpatient clinic of gynecological department in Al-
Mataria Teaching hospital in Cairo. They were randomly assigned into four
groups equal in numbers; Group A (Control group) consisted of thirty
multiparous women with no intervention, Group B (Hip strengthening exercises
group) consisted of thirty multiparous women were treated by hip strengthening
exercises, Group C (Pelvic floor exercises group) consisted of thirty multiparous
women were treated by pelvic floor exercises and Group D (Hip strengthening
and Pelvic floor exercises group) consisted of thirty multiparous women were
treated by hip strengthening exercises and pelvic floor exercises. Evaluations
were done through measuring anthropometric measurements (weight and body
mass index (BMI) , maximal vaginal squeeze by using biofeedback and
Urogenital Distress Inventory Questionnaire - Short Form (UDI-6):It was used to
assess the degree to which symptoms associated with SUI The results of this
study showed a statistically significant differences (P= 0.001) in maximal
vaginal squeeze and Urogenital Distress Inventory Questionnaire - Short Form
(UDI-6) within all groups except group (A) and a statistically significant increase
(p= 0.001) in maximal vaginal squeeze and Urogenital Distress Inventory
Questionnaire - Short Form (UDI-6) in favor to group (B); group (D) and group
(C) respectively when compared with its corresponding value in group (A), while
there was no significant difference in Urogenital Distress Inventory
Questionnaire - Short Form (UDI-6) between groups (B) and (D). Accordingly,
it could be concluded that strengthening the hip muscles is recommended as one
component of intervention for improving stress urinary incontinence as it
improves pelvic floor muscles power and reduces leakage in those with stress
urinary incontinence and may be considered a starting point for those women who
find pelvic floor muscles contractions difficult to perform.

تعانى السيدات الحوامل طوال فترة الحمل من تعرض العضلات الداعمة للرحم والمثانة وقاع الحوض لتأثير التغيرات الهرمونية هذا بالإضافة للضغط المتزايد للجنين الذي يبلغ أقصاه وقت الولادة فتتمدد عضلات قاع الحوض مما قد يؤدى في النهاية إلى إجهاد جميع العضلات في هذه المنطقة ومن بينها عضلات المثانة الأمر الذي يظهر في صورة تسرب لا إرادي للبول ، ما يعرف بسلس البول الإجهادى الذى يشير إلى فقدان التحكم في المثانة و عند زيادة الضغط على المثانة بسبب الحركة أو النشاط كما فى السعال، والعطس مما قد يؤدي إلى تسرب البول.

Issues also as CD.

Text in English and abstract in Arabic & English.