Purpose: The objective of this study was to analyze the influence of a retraining urogynecology program
in women with the diagnosis of stress urinary incontinence, compared to the amount of urine leakage,
strength of the pelvic floor muscles and subjective perception of improvement. Methodology: This case
study with multiple subjects, constituted a sample group of 14 women, who underwent a retraining
urogynecology program (Manual Reeducation, Electrical Stimulation and Biofeedback), twice a week for
a total of twenty sessions, lasting three months. Before and after the program, perineometry was
performed to assess the strength of maximum voluntary contraction of the pelvic muscles, and pad-test
to quantify urinary leakage. The final questionnaire allowed to assess the subjective perception of
improvement. Results: After implementation of the program in the sample group, a total of 14 women
with a mean age of 51,6 years (sd = 5,43), was obtained a significantly increased by 26,95% of
maximum voluntary contraction of the pelvic floor muscles (3,1cmH2O, p=0,004), significantly reduced
the amount of urinary leakage of 60,81% (Pad Test/1 Hour – 4,5 grams, p=0,008) and 92,9% of women
feel improved, almost healed or healed. The correlation between the increase of maximum voluntary
contraction and decrease the quantity of urine leakage was not statistically significant (r = -0,378, p=
0,183). Conclusion: After the application of the retraining urogynecology program, women with stress
urinary incontinence of the sample group presented statistically significant improvements on the maximal
voluntary contraction force of the pelvic floor muscles, in the amount of urinary leakage and the
subjective perception of improvement