Effect of Kegel Exercises on The Recurrence of Lower Urinary Tract Infection in Multiparty

Abstract

Context: Urinary problems are common in females, affecting approximately one-third of adult women. Multiple deliveries Reduced pelvic floor strength affects the bladder function because the bladder does not completely empty, leaving a 'pool' of urine, which can lead to recurrent urinary infections. Kegel exercises are the most widely used method for strengthening muscles in the pelvic floor. Patients can do them at any time, anywhere, while doing other work and without regular visits to hospitals.

Aim: The study aims to assess the effects of Kegel Exercises on the recurrence of Lower Urinary Tract Infection in Multiparty.
Methods: A convenience sample of 100 patients suffering from recurrent urinary tract infection (UTI) and (Multiparty) had more than three normal deliveries, assigned randomly and alternatively into two equal groups, 50 in each. The first group (control group) received standard hospital nursing care. The second group (study group) taught Kegel exercises. Outcome measurements included the use of the UTI Symptoms Assessment Questionnaire, administered pre and two months post-regular Kegel exercises, to assess the severity and bothersome of the most frequently reported symptoms of UTI.
Results: Regarding the degree of symptoms for urinary tract infection in the first visit, the majority of patients in both groups had a maximum degree of symptoms. Regarding all symptoms, the patient suffering from frequency, the urgency of urination, pain or burning when passing urine, inability to empty the bladder completely, pain or uncomfortable pressure in lower abdomen/pelvic area, low back pain, and blood in urine with a non-statistically significant difference between both groups. On the other hand, in the second visit, there was a statistically significant difference between patients who received hospital care and the study group who practice Kegel exercise regarding all symptoms. There was a statistically significant difference between both groups regarding the severity of urinary tract infections. Conclusion: Women with recurrent urinary tract infection symptoms exhibit self-reported cure or improvement of urinary tract infection symptoms after the regular performance of Kegel exercises. Applying educational sessions by nurses is recommended for females after normal delivery and caesarian section delivery.