Laser Therapy and Pelvic Floor Muscle Training for Stress Urinary Incontinence

The Effect of High-frequency Laser Therapy and Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence: A Plasebo Randomized Controlled Trial

The aim of this study was to investigate the effects of Pelvic Floor Muscle Training (PFMT) in addition to high-intensity laser therapy (HILT) on pelvic floor dysfunction, sexual dysfunction, and quality of life in women with stress urinary incontinence. Women with SUI will be randomly assigned to PFMT (Group I), Laser + PFMT (Group II), and placebo laser (Group III). PFMT will be administered twice weekly for 12 weeks under the supervision of a physiotherapist. PFMT will be administered with biofeedback. HILT will be applied to six points in the perineal region . The intensity will be 6W, the energy density will be 120J/cm2, and three sessions will be administered weekly for a total of six sessions. Women included in the study will be evaluated twice, at the beginning and at the end of the treatment, with the Incontinence Quality of Life Scale (I-QOL), Incontinence Severity Index (ISI), Female Sexual Function Scale-(FSFI), and Global Pelvic Floor Impact Questionnaire (GPTRA).

Inclusion Criteria:

• Women aged 18-65,
• Women who are volunteers and committed to work,
• Women diagnosed with stress urinary incontinence,

Exclusion Criteria:

• Pregnancy,
• Previous surgery in the treatment area within 12 months,
• Active genital infection,
• Presence of malignancy,
• Systemic steroid use in the last 3 months,
• Use of vaginal lubricant within the last 7 days,
• Recurrent urinary tract or genital herpes,
• POP-Q score 3 or higher