Conservative Physiotherapy Approach to Stress Urinary Incontinence in a Postmenopausal Female: A Case Study

Stress urinary incontinence (SUI) is a common condition among postmenopausal women but is often underreported due to social stigma. This case report presents a 59-year-old female with urinary leakage during activities such as coughing and sit-to-stand transitions, persisting for three years. The patient was assessed using the Modified Oxford Grading Scale and the Questionnaire for Urinary Incontinence Diagnosis (QUID). Initial evaluation revealed pelvic floor muscle strength of Grade 3/5 and a QUID score of 27/36. A six-week physiotherapy program was implemented, consisting of pelvic floor muscle training through Kegel’s exercises and core strengthening activities, administered five times per week. After the intervention, pelvic floor strength improved to Grade 4/5, and the QUID score decreased to 12/36, indicating a significant reduction in urinary incontinence symptoms and frequency of urination. This case highlights the effectiveness of conservative physiotherapy interventions as a first-line approach in the management of stress urinary incontinence among postmenopausal women.