Abstract
INTRODUCTION AND HYPOTHESIS: Measuring changes in the vaginal pressure profile (VPP) with the Femfit® by JUNOFEM during various sports will help improve understanding of the magnitude of pressures generated during such activities and the pelvic floor's response to those pressures. This could aid in selecting safe exercises for women with pelvic floor dysfunction. The primary aim of this study was to measure intravaginal pressure changes using a novel pressure sensor array (Femfit®) during high-risk sports activities in elite female athletes with and without stress urinary incontinence (SUI). The secondary aim was to quantify the amount of urine leakage during these activities using a newly developed innovative pad weighing test (iPWT). METHODS: We used the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) to assess participants and measured the VPP using the Femfit® device during ground jumps, trampoline jumps, weightlifting, slow running and fast running. Urine leakage was assessed using the iPWT during the five sports activities. RESULTS: The highest VPP (53.7 ± 21.6 mmHg) was recorded during ground jumps, followed by trampoline jumps. The second-highest values (24.7 ± 8.1 mmHg) were measured during fast and slow running, while the lowest values were observed during weightlifting (11.6 ± 4.0 mmHg). Measurements of VPP during sporting activities revealed lower pressure values in elite female athletes with SUI than in those without SUI. The overall mean urine leakage in the SUI group during the five activities was 6.6 ± 1.8 g. CONCLUSION: On the basis of the VPP and the newly developed iPWT, sports involving jumps and lunges have been identified as revealing SUI and should therefore be included in testing female athletes. The iPWT may prove suitable for measuring SUI in elite female athletes but requires further testing and validation. CLINICALTRIALS: gov Registration: NCT06224335.