Overview
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.
Description
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.
Eligibility
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.