EFFECTIVENESS OF KEGEL’S EXERCISES IN ELDERLY MALE AND FEMALE WITH URINARY INCONTINENCE

Abstract

Objective: to determine the effectiveness of Kegel exercises in elderly male and female patients with stress urinary incontinence. Methodology: A quasi experimental study was conducted at In Department of urology of Shaheed Mohtarma Benazir Bhutto medical university, Chandka medical college Larkana Sindh from January 2017 to June 2019. The non-probability convenient sampling technique was used for sample selection. The n=43 patient with the age above 55 years was included in the study. Patient with neurological, cognitive and male with prostate problem were excluded from the study. Both male and female were received intervention of Kegel exercise (KE) for three months and 3-4 time/day. The urinary distress inventory (UDI) and Incontinence impact questionnaire was used for urinary distress and quality of life. The data was obtained at baseline, at 6th week and after 12th week. The mean±SD, n(%), Mean difference (MD), p-value (p<0.05) and effect size (Cohen’s d & partial eta square was use to describe the data. For within group analysis Repeated Measure ANOVA was used and for between the groups analysis independent t-test was used. SPSS ver 21 was used for data analysis. Results: The mean age of the study participants was 64.97±9.36 year. Within group analysis showed large significant improvement in both, males and females (p<0.05). However, between group differences showed significant improvement with larger effect size in males as compared to females (p<0.05). Conclusion: Kegel exercises are effective therapy for urinary incontinence in both genders. But Kegel exercises are more effective in males for urinary incontinence in improving urinary distress and quality of life.