الفهرس 
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Abstract
Urinary incontinence (UI) is any involuntary leakage of urine. It is a prevalent condition with far-reaching physical, psychological, social, and economic implications. Urinary incontinence can also be categorized into five basic types based on the pattern of symptoms; urges, stress, overflow, functional, and mixed. Although UI is common, highly treatable, and very often curable, it is often not diagnosed or treated. People often live with incontinence without seeking professional help because they are afraid, embarrassed, or mistakenly believe it is a normal part of aging. Therefore, many complications can result from UI.
Stress urinary incontinence (SUI) is defined as the uncontrollable loss of small amounts of urine, such as with coughing, straining, sneezing, lifting heavy objects, or performing any maneuver that suddenly increases pressure within the abdomen. It is the most common type of UI among young and middle-aged women. It can be associated with other risk factors occurring during delivery. It can also be caused or worsened by obesity. In addition, lack of estrogen is a contributing factor for SUI among the majority of postmenopausal women.
Stress urinary incontinence has two main causes; the major cause is impaired urethral support from PFMs weakness. The less common cause is an intrinsic sphincter deficiency usually secondary to pelvic surgeries. Managing the patient with SUI is an integral component of rehabilitation nursing practice, and it can be a very challenging and rewarding aspect of nursing care. Conclusively, nursing interventions of patient with SUI can make the difference between continence and incontinence. Therefore, this study was done to detect the effect of Kegel exercises on strength of PFMs among women with SUI.
The study was conducted at the Gynecologic Outpatient Clinics of Al-Assad University Hospital; Al-Watanee Hospital affiliated to Ministry of health in Latakia- Syria and Military Housing Clinic in Damascus-Syria. A convenient sample of 100 women with SUI was picked up from the attendants of the previous settings according to the following criteria: age ranged from 25-45 years, parity at least one, has normal vaginal deliveries and normal BMI (18.5-30), free from any medical and gynecologic diseases as well as willing to participate in the study. The selected subjects were then divided alternately into two equal groups of 50 (study and control).