
As defined by the defined by the International Continence Society- any involuntary loss of urine, is a socially hygienic problem and it is objectively demonstrable. The prevalence rate of SUI ranges from 75- 80 %. Recommended Physical Therapy Management is least invasive and only method without undesirable side effects; apart from classical Kegel’s exercises, recent studies have been experimenting with multiple training options. Interventional studies have been including females aged 60-74 yrs and used the QUID questionnaire for choosing the type of incontinence. Perineometer has been an established and valid strength assessment device in a comparative study for digital palpation by OXFORD scale. This study demonstrates the use of perineometer as a strength assessment and endurance and the use of Pilates as an exercise tool for controlling stress urinary incontinence.