The prevalence and causes of incontinence have been reported extensively in the literature. However, there is a dearth of literature on conservative management of incontinence using advanced technology in a tertiary care center from India. It is also important to report the feasibility and acceptability of this intervention as it requires an extended center based follow up period. Evidence suggests that women between the age group of 41-50 years are most likely to experience urinary incontinence and can be managed conservatively.

Thus, this pilot study will help in analyzing objectively the effect of a structured pelvic floor muscle training program (PFMT) using EMG biofeedback on improving pelvic floor muscle strength and endurance in middle aged women with incontinence and report their acceptance and adherence to the program in a tertiary care center.

Middle aged women with incontinence referred by urologist or gynecologist or direct walk in to physiotherapy will be screened for the program. 32participants who meet the inclusion criteria with consent will be recruited in the study. Participants will undergo a pre and post assessment for symptoms and pelvic floor strength and endurance using a Perineometer. They will undergo a 3 months routine structured PFMT program incorporating patient education, pelvic floor exercise using biofeedback and home exercises. Acceptability and adherence of the program will be recorded. Patient interviews will be conducted to analyze the acceptability of the program and understand any challenges.