Which is a common predictor of success for pelvic floor therapy in stress urinary incontinence?

• A. Severe urethral hypermobility
• B. Good ability to contract the pelvic floor
• C. No training responsiveness
• D. Low adherence to exercises

Answer: (B)

The ability to actively and correctly contract the pelvic floor muscles is what predicts success with pelvic floor therapy for stress urinary incontinence. When you can reliably recruit and isolate these muscles, you can perform the exercises with proper form, build strength, and learn to engage the pelvic floor during activities that raise abdominal pressure, like coughing or sneezing. This direct neuromuscular control makes the training effective and leads to better urethral support and closure. Others factors, such as severe urethral hypermobility, don’t determine outcomes as reliably because PFMT can still help by strengthening the pelvic floor, and poor results are more tied to how well the exercises are performed and adhered to rather than a single anatomical finding.