Homoeopathy in cases of Stress Urinary Incontinence in Parous Women of Reproductive Age Group a Randomised Controlled Study

Abstract

Background & Objective: Stress Urinary Incontinence (SUI) is an involuntary urinary leakage that occurs with transient increase in abdominal pressure as in coughing, laughing and sneezing. It is very common in females because of weakening of pelvic floor muscles followed by childbirth. Regular pelvic floor exercise (PFE) can overcome this problem slowly but individualized Homoeopathic medicines can fasten the improvement.  The main objective of this study is to explore the role of Homoeopathy in the treatment of SUI in parous women of reproductive age group along with PFE in comparison to treatment with only PFE. Methods: A prospective experimental randomized controlled study was conducted in which total 100 parous females of reproductive age group were studied. Baseline characteristics of all patients were involuntary urinary leakage on coughing, laughing and sneezing.  Patients were randomized into two groups to receive individualized homoeopathic medicines (Group A; n=50) and placebo (Group B; n=50) along with PFE. Patients of both groups were compared according to scores of 1- hour Pad Weight Test (1-hr PWT). Baseline scores of both groups were measured and compared with the scores after 6 months follow-ups. 

Results: The scores of 1-hr PWT after treatment in Group A and Group B were compared; the mean scores in Group A were lower than the mean scores of Group B. The paired t test and independent t test showed statistically significant difference (P<.05). The most frequently indicated homoeopathic medicine was Sepia officinalis (n=20).

Conclusion: The individualized homoeopathic medicines along with pelvic floor exercise produced promising outcome in the treatment of cases of stress urinary incontinence in parous females of reproductive age group. Key words:  Stress urinary incontinence, parous women, individualized homoeopathy, pelvic floor exercise, 1-hour Pad weight test.