Urinary Incontinence Clinical Trial
Official title:
The Treatment of Stress Urinary Incontinence Using an Incontinence Ring: A Randomized, Cross-over Trial
This study aims as defining success rate of the incontinence ring in women with test proven stress urinary incontinence and determining factors associated with successful use.
The primary objective of this study is to determine if the incontinence ring is effective in
decreasing the incontinence episode frequency per week. Other objectives include the
determination of the cure rate (objective and subjective) with the ring, the effects to
bladder function as noted on urodynamic testing, the impact on quality of life and the
acceptability to this device in the treatment of stress urinary incontinence.
In this cross-over study, 40 women will undergo a two-period treatment. In one of the
periods, she will spend 4 weeks wearing continuously the ring and in the other (also 4 weeks
duration), she will not be using any treatment for her incontinence. Between periods, she
will spend 2 weeks in "wash out" to eliminate the risk of continuous effect from the
treatment in the preceding period. Each woman will be randomly assigned to the treatment
sequence.
Stress urinary incontinence is a common problem affecting at almost 20% of women. Treatments
currently advocated include pelvic floor exercises and surgery. Pelvic floor exercises
require great motivation and usually 3 months of training to show an impact. Surgery is very
effective, but costly and carries a number of complications. The use of the incontinence ring
may allow women to control their symptoms with immediate result at minimal risk. This device
has never been properly evaluated before its introduction into the market.
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