Materials and Methods: The study included 66 women diagnosed with UI who met the inclusion criteria. Participants were randomly assigned to a control group (n=33) receiving PFMT alone and an intervention group (n=33) receiving PFMT plus DB exercises. The Incontinence Severity Index (ISI) was utilized to evaluate the severity of incontinence, whereas quality of life was assessed using both the Incontinence Quality of Life Questionnaire (I-QOL) and the King’s Health Questionnaire (KHQ). All evaluations were performed face-to-face at the start of the study and again at the eight-week follow-up.

Results: Significant improvements were obtained in both groups after treatment in the ISI, the psychological impact and total scores of the I-QOL, and the Symptom Severity Scale. In the KHQ, no significant changes were found in most sub-dimensions, except for physical limitations and personal relationships in the intervention group, and incontinence severity in the control group. Following the intervention, no statistically significant differences were observed between the groups across any of the evaluated parameters.

Conclusions: This study demonstrated improvements in incontinence severity, incontinence-related life quality and symptom severity in both groups. However, the integration of DB exercises with PFMT did not produce significantly better outcomes compared to PFMT alone. This study demonstrated improvements in incontinence severity, symptom severity, and specific aspects of incontinence-related quality of life, particularly psychological impact and total scores, in both groups. However, the integration of DB exercises with PFMT did not produce significantly better outcomes compared to PFMT alone.