A personalized digital pelvic floor training program, based on an adaptive algorithm that adjusts the load according to user feedback, is an effective non-pharmacological method to manage stress urinary incontinence (SUI) in postpartum women.
The aim of this study was to assess the impact of device-based and non-device-based training approaches on the time required to eliminate SUI symptoms.

A retrospective analysis was conducted using user data from a personalized digital platform.
The study included 40 women aged 27–42 years with SUI after vaginal childbirth, without organic pelvic pathology, previous pelvic surgery, or ongoing pharmacological treatment.

The program consisted of three modules:

Diagnostic – subjective symptom scoring and automatic plan generation.

Training – 25-minute sessions including breathing techniques, therapeutic exercise, and isolated pelvic floor muscle contractions using variable difficulty protocols. Participants were divided into two groups: with and without vaginal device usage.

Assessment – daily progress tracking and automatic load adjustment.

56% of participants followed the program daily. Results were evaluated based on the volume of urine leakage.

100% of participants reported a reduction in leakage episodes.

85% achieved complete symptom resolution.

Inconsistent training correlated with partial improvement.

With a vaginal device:
• Symptom resolution by week 10 on average
• Daily training led to resolution by week 7
• Gaps extended the time to 14 weeks

Without a device:
• Resolution by week 16 on average
• Daily training = 8 weeks
• Gaps = 25 weeks

90% showed resolution or strong reduction after mastering isolated contraction with diaphragmatic breathing.

No adverse effects were reported.

Training regularity was the most significant predictor of success. Daily adherence led to results 2–3 times faster.
Device use helped, but consistent technique and breathing control were essential.
The platform’s adaptive algorithm ensured effective load progression without strain.
This neuromuscular-focused method provided safe, stable results and outperformed traditional "squeeze and hold" approaches.

Consistent training and mastery of breathing-coordinated pelvic floor contraction are key to success.
The adaptive digital approach is effective and safe, even without direct professional supervision, and can serve as a scalable solution for postpartum SUI recovery.