Background
urinary incontinence symptoms, stress urinary incontinence symptoms, urinary incontinence, complaint of involuntary leakage, SUI, MUI, pelvic floor muscle exercise
SECONDARY, STRESS URINARY INCONTINENCE, URINARY INCONTINENCE
Stress urinary incontinence (SUI) is the complaint of involuntary leakage on effort or exertion or on sneezing or coughing, while mixed urinary incontinence is the complaint of involuntary leakage associated with urgency and also with exertion, effort, sneezing, or coughing [Despite advancements in the management of SUI, conservative treatment is recommended by most professional guidelines. The European Association of Urology (EAU) recommends that providers should offer supervised intensive pelvic floor muscle training (PFMT), lasting at least three months, as first-line therapy to all women with SUI or MUI (including elderly women) and to ensure that PFMT programs are as intensive as possible [Creatine is a non-essential nitrogenous organic acid, the primary constituent of phosphocreatine, used to regenerate ATP within the cell [The European Food Safety Authority (EFSA) has approved several health claims for creatine, including that daily creatine consumption can enhance the effect of resistance training on muscle strength in adults over the age of 55 and that creatine increases physical performance in successive bursts of short-term, high-intensity exercise [Besides creatine, leucine has been extensively studied regarding improving muscle function. Leucine is an essential amino acid capable of stimulating the synthesis of muscle proteins. It enhances regeneration and prevents muscle tissue from degradation [Our pilot study aimed to investigate the impact of a specially formulated creatine-leucine-zinc-calcium-magnesium-containing supplement in addition to regular pelvic floor muscle exercise on urinary incontinence symptoms and improvement in pelvic floor muscle strength. This supplement was designed to enhance the effect of resistance training on muscle strength and to increase physical performance in successive bursts of short-term, high-intensity exercise, which could help with stress-induced urinary incontinence symptoms. We hypothesized that the combination of daily pelvic floor exercise and supplementation with a special dietary supplement would improve stress urinary incontinence symptoms, partly secondary to increased pelvic floor muscle strength.