Urge Incontinence Clinical Trial
Official title:
Randomized Trial of Tibial Nerve Stimulation Versus Pelvic Floor Exercises for Treatment of Overactive Bladder, Urge and Mixed Urinary Incontinence
Urinary incontinence is defined according to the International Continence Society as any
involuntary loss of urine, which may bring several negative consequences on women's lives,
and among incontinent women, about 50% have urinary incontinence, 30% mixed and 20%
emergency.
The overactive bladder present in urge incontinence and mixed cause significant impacts on
people's lives and has a prevalence of 16.5% in the US population.
Behavioral therapies, exercises the pelvic muscles and drugs are the main forms of treatment.
Drug therapy using drugs which are not specific for the bladder and are associated with many
unwanted systemic side effects.
The results obtained by researchers in several countries using conservative techniques in the
treatment of patients with urinary incontinence are encouraging and this study aims to
evaluate carefully and systematically the effectiveness of tibial stimulation technique.
Importantly, also, that conservative techniques have lower cost than the surgical treatment
and have virtually no side effects as most of the drugs used in the pharmacological treatment
of female urinary incontinence.
Goal
Development of instrumentation for home treatment of overactive bladder and urgency / mixed
incontinence using tibial stimulation and pelvic floor exercises.
Secondary objectives
- Development of an innovative portable equipment, with domestic technology for home
application of the posterior tibial nerve stimulation technique using the type SSP
surface electrodes (Silver Spike Point).
- Comparison of the effectiveness of tibial stimulation techniques and pelvic floor
exercises in the treatment of overactive bladder and urgency / mixed incontinence.
Design Randomized Clinical Trial
Sample Women over the age of 18, complaining of urinary incontinence Urgency or Mixed (with
main urgency component), catered in Urogynecology Ambulatory of Hospital de Clinicas de Porto
Alegre.
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