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The Investigators decided to examine whether the Paula method is more effective than Pelvic Floor Muscle Training (PFMT) in terms of urinary leakage amount, as it measured by pad test in menopause women without an hormonal therapy. In addition to the pad test and two urinary incontinence questionnaires, we will use other assessment tools such as; quality of life and sexual function which have been found to correlate significantly with pad test results. These results may indicate that menopausal women with Stress Urinary Incontinence may be more successful controlling incontinence if they will practice the Paula method as compared to PFMT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pelvic Floor Muscle Training (PFMT) | Active Comparator |
| |
| Paula Method | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Paula Method | Behavioral | All subjects allocated to this group will receive one group lesson, 45 minute sessions once a week for twelve weeks. All will be encouraged to practice daily for 15-45 minutes at home. The teachers will be followed a set exercise list. |
| Measure | Description | Time Frame |
|---|---|---|
| change in the quantity of urinary leakage, measured by the one hour pad test | To examine whether the Paula method intervention is more effective than PFMT in reducing urinary leakage in menopausal women with SUI | 1) Baseline 2) After 12 weeks of exercise intervention 3) 12 months after completion of the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| change in the urinary leakage questionnaires, measured by ICIQ-UI and QUID | 1) Baseline 2) After 12 weeks of exercise intervention 3) 12 months after completion of the intervention | |
| improvement of sexual function | To evaluate the effectiveness of both methods to improve sexual function in women diagnosed with SUI |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Drorith Hochner-Celnikier, MD | Hadassah Medical Organization | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah Medical Organization | Jerusalem | Israel |
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| ID | Term |
|---|---|
| D014550 | Urinary Incontinence, Stress |
| D009948 | Orgasm |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| Pelvic Floor Muscle Training (PFMT) | Behavioral | All subjects allocated to this group will receive one group lesson, 45 minute sessions once a week for twelve weeks. All will be encouraged to practice daily for 15-45 minutes at home. The teachers will be followed a set exercise list . |
|
| 1) Baseline 2) After 12 weeks of exercise intervention 3) 12 months after completion of the intervention |
| improvement of quality of life | To evaluate the effectiveness of both methods to improve quality of life in women diagnosed with SUI | 1) Baseline 2) After 12 weeks of exercise intervention 3) 12 months after completion of the intervention |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012725 | Sexual Behavior |
| D001519 | Behavior |