Lessening Incontinence by Learning Yoga

Inclusion Criteria:

- Women aged 40 years or older who report urinary incontinence for > 3 months prior to
screening

- Self-report at least 7 urinary incontinence episodes per week on a screening 7-day
voiding diary

- Self-report urgency-predominant, stress-predominant, or mixed-type incontinence on
the screening voiding diary

- Willing to refrain from initiating medical treatments that may affect their
incontinence or voiding pattern during the study period

- Capable of understanding study procedures and giving informed consent

Exclusion Criteria:

- Participation in a yoga class or other formal or organized yoga instruction in the
past year

- Any prior yoga therapy directed specifically at improving urinary incontinence or
pelvic floor dysfunction

- Current use of medical therapy or device (i.e. pessary) for incontinence or use
within the previous month

- Currently pregnant, gave birth within the past 6 months, or planning pregnancy during
the study period

- Current urinary tract infection or a history or 3 or more urinary tract infections in
the preceding year

- Report history of neurologic conditions such as stroke, multiple sclerosis, spinal
cord injury, or Parkinson's disease, or a lumbosacral spine condition associated with
neurological symptoms

- Unable to walk up a flight of stairs or at least 2 blocks on level ground without
assistance

- Unable to get up from a supine to a standing position in 10 seconds or less and
without assistance

- Severe obesity, defined as body mass index > 35 kg/m2 on screening examination

- Report history of interstitial cystitis, fistula or hole in bladder or rectum, or
birth defect leading to urine leakage

- Report any history of prior anti-incontinence or urethral surgery (not including
urethral dilation), pelvic cancer, or pelvic irradiation for any reason

- Report use of bladder botox, electrostimulation, bladder training, or pelvic floor
exercise training (with certified practitioners) in the past 3 months

- Report other surgery to the pelvis (hysterectomy, oophorectomy, vaginal surgery,
bladder surgery, colon surgery) within the past 3 months

- Report symptomatic pelvic organ prolapse

- Report history of vulvodynia, chronic pelvic pain, or pain when practicing pelvic
floor exercises

- Report conditions that, in the judgment of the investigators, render potential
participants unlikely to follow the protocol, including plans to move, substance
abuse, significant psychiatric problems, or dementia

- Participation in another research study that involves investigational drugs or
devices that could potentially confound the results of this study