ABSTRACT:
Objective of The Study: The study aims to compare the effectiveness of Paula method and Kegel's exercise in women with urinary incontinence. Background of The Study: Pelvic floor muscle weakness is one of the cause for urinary incontinence. Conservative management such as pelvic floor muscle training and Paula method is commonly recommended as first-line therapy for women with urinary incontinence. The purpose of the study is to examine the efficacy of circular muscle strengthening (Paula method) as opposed to pelvic floor muscle training (PMFT) on stress urinary incontinence. Methodology: This study was a comparative study design with pre and post type with 40 subjects randomly divided into two groups (group A and group B). Group A received Kegel’s exercise and Group B received Paula method. Result: On comparing Pre test and Post test within Group A and Group B of ICIQ score, QOL score, sexuality questionnaire score shows highly significant difference in mean values at P = 0.001. Conclusion: This study concludes that Paula method decreases frequency of urinary incontinence by strengthening sphincter muscles. Compared to the Kegel’s exercise, Paula method showed greater difference in decreasing the frequency of urinary incontinence.