Vol. 7, Issue 2, Part B (2025)

Background: Mixed Urinary Incontinence (MUI), involving both stress and urge urinary leakage, affects over 30% of women with urinary incontinence and is associated with a disproportionately negative impact on health-related quality of life and psychological well-being. Conservative physiotherapeutic approaches combining different modalities have shown promise in managing MUI symptoms effectively.
Objective: To evaluate the combined effects of Tanzberger exercises, Transcutaneous Electrical Nerve Stimulation (TENS), and Kegel’s exercises on quality of life and urinary leakage in women diagnosed with Mixed Urinary Incontinence.
Participants and Setting: A total of 20 female participants diagnosed with MUI were recruited through convenience sampling from the Department of Physiotherapy and Urology at Sri Ramakrishna Hospital. After accounting for attrition, 15 participants completed the study. 
Methods: A quasi-experimental, pre-post study design was used. Participants underwent a 4- week intervention comprising Tanzberger exercises, TENS, and Kegel’s exercises. Quality of life was assessed before and after the intervention using the King’s Health Questionnaire (KHQ), and urinary leakage was measured using the One Hour Pad Test. Pre- and post-intervention mean scores were compared. Statistical significance was set at p ¡ 0.05.
Results: Post-intervention KHQ scores showed substantial improvements across multiple domains, with mean scores reducing from pre-intervention values (82, 73.4, 73.6, 79.53, 74.66,
75.86, 71.33, 76.06, 78.26, 22.66) to post-intervention values (31.8, 29.86, 33.6, 39.2, 40, 36.53,
40.53, 47.93, 7.53). This reflects a clinically meaningful enhancement in quality of life. The One Hour Pad Test showed a significant reduction in urinary leakage, with mean leakage decreasing from 12.4 X ml to 7.6 Y ml (p ¡ 0.05). Although exact effect sizes (e.g., Cohen’s d) were not calculated, the magnitude of change indicates a strong clinical effect.
Conclusions: The combined physiotherapeutic intervention of Tanzberger exercises, TENS, and Kegel’s exercises significantly improved quality of life and reduced urinary leakage in women with Mixed Urinary Incontinence. This multimodal approach provides a non-invasive and effective management strategy for MUI.