• Prof. Mrs. Susan Manoj
• Dr. Kavitha

Stress urinary incontinence (SUI) poses a significant burden to the women’s health. The need to assess symptoms of SUI and to teach women its management is very important, as it hinders their social life and has negative impact on their wellbeing. Many treatment options are available for managing SUI, combined Kegel exercises and abdominal hypopressive technique can be used as non-invasive and cost effective management modalities for reducing and alleviating the symptoms thus, improving their social, physical and psychological wellbeing.This study aims to evaluate the effectiveness of combined Kegel exercises and abdominal hypopressive technique in management of stress urinary incontinence among middle aged women. Method: Evaluative research approach with quasi experimental pre- test post- test control group research design was adopted for the study. Study population comprised of middle aged married women between 40 to 65 years having stress urinary incontinence.Convenient sampling technique was used to select the samples, 10 each were allotted into experimental and control group.The subjects under study in experimental group was explained and instructed to perform Kegel exercise and Hypopressive technique for 4 weeksalternating between Kegels and Hypopressive between days. The control group was only told to follow the hygienic care measures no interventions were given to them. Result: The results of the study revealed that after the implementation combined Kegel exercises and abdominal hypopressive technique, the level of stress urinary incontinence was reduced to 32.50% among the women in experimental group and in control group it was reduced only 5.62%.Statistically significant difference was found between experiment and control group in urinary leakage and pelvic floor muscle tone. With regard to pelvic floor muscle tone after the intervention in Experiment group, 90% of the women had gained good contraction whereas in control group no changes were observed. The urinary leakage was also reduced in experimental group after intervention and no changes were observed among the in control group . Conclusion: Stress incontinence (SI) is the most common type of incontinence suffered by women. Appropriate assessment and timely interventions can result in positive outcomes by reducing the urinary leakage and improving the pelvic floor muscle tone. The results of the present study concluded that combined Kegel exercises and abdominal hypopressive technique is effective in managing the SUI among the women.

Stress urinary incontinence (SUI), Kegel exercises and abdominal hypopressive technique, Pelvic floor muscle tone, urinary leakage, Middle aged married women.

"Pilot study on Effectiveness of combined Kegel exercises and Abdominal Hypopressive Technique in management of Stress Urinary Incontinence among middle aged women", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.9, Issue 6, page no.c291-c299, June-2022, Available :http://www.jetir.org/papers/JETIR2206237.pdf

"Pilot study on Effectiveness of combined Kegel exercises and Abdominal Hypopressive Technique in management of Stress Urinary Incontinence among middle aged women", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.9, Issue 6, page no. ppc291-c299, June-2022, Available at : http://www.jetir.org/papers/JETIR2206237.pdf