Efficacy of a Video-Based Educational Program on Female Urinary Incontinence

Efficacy of an Educational Video-Based Program to Treat Urinary Incontinence in Women Referred for Pelvic Floor Rehabilitation

The aim of this clinical trial is to assess the effectiveness of a 4-week video-based education program in enhancing urinary continence among women with urinary incontinence referred for pelvic floor rehabilitation

The main question it aims to answer is :

• Does a structured video-based education program reduce the symptoms of urinary incontinence before any pelvic floor muscle strengthening ? Researchers will compare this program to a paper document (providing similar information) to see if this improves urinary continence in women suffering from urinary incontinence.

Participants will :

• receive either the video-based education program or a paper information document (providing similar information) prior to the sessions with the physiotherapist
• then follow pelvic floor rehabilitation sessions with the physiotherapist according to usual practice
• complete the urinary incontinence questionnaire after the 4-week video education program (intervention group) or 4 weeks after receiving the paper document (control group), and after each pelvic floor rehabilitation session with the physiotherapist and at the end of the sessions
• will be monitored at 1 and 2 years to evaluate urinary incontinence following the intervention.

The video-based education program will include 4 workshops of 20 minutes each, at a rate of 1 video per week:

Video 1: Anatomy and physiology of the pelvic floor; Video 2: Physiology of the urinary tract; Video 3: Physiology of the digestive tract; Video 4: Pathophysiology of urinary incontinence and other pelvic floor disorders (genital prolapse and anal incontinence) and preventive measures in daily activities.

Inclusion Criteria:

• Any woman referred for pelvic floor rehabilitation sessions for urinary incontinence (defined as 'any involuntary leakage reported by the patient' according to the International Continence Society)
• Women requiring perineal rehabilitation for urinary incontinence
• Aged 18 years or older
• Having access to a connected device (tablet, smartphone, computer)
• Having a functional email address
• Covered by a social security scheme
• Informed, and written consent (signed by the participant and the investigator)

Exclusion Criteria:

• Women unable to complete questionnaires (unable to read French or unable to write)
• Visually impaired individuals who cannot watch the video or read the printed material
• Genital prolapse extending beyond the hymen
• Documented neurological disorders
• Individuals receiving psychiatric care and those unable to express their consent
• History of pelvic fractures or dorsolumbar surgery
• Chronic pelvic pain
• Women who have given birth within the last 6 month
• Individuals with enhanced protection: minors, individuals deprived of liberty, individuals residing in a health or social institution, pregnant or breastfeeding women, adults under legal protection, and patients in emergency situations.