Acupuncture for Urinary Incontinence
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Purpose
This research study will evaluate the effectiveness of acupuncture in decreasing urinary incontinence (involuntary urine loss) in women. The study will involve 12 acupuncture sessions over 6 weeks. We will compare the effectiveness of acupuncture and sham (placebo) acupuncture (a procedure in which the needle feels like it penetrates the skin, but is not actually inserted into the body) on the frequency and volume of involuntary (accidental) urine loss after completing the intervention, and again one month later. Individuals participating in this study will be randomly assigned to receive either the actual or sham acupuncture. Randomization means being assigned by chance, similar to flipping a coin. Study participants will not know which group (actual or sham acupuncture) they were assigned to until one month after completing the 6-weeks of treatment. The sham acupuncture needles look similar to the real acupuncture needles and feel like they penetrate the skin, but do not actually do so. If individuals are assigned to the sham acupuncture group, they will be eligible to receive the actual acupuncture one month after completing the sham acupuncture. All individuals will be followed for 6 months after completing the acupuncture treatments.
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Incontinence |
Procedure: Acupuncture Other: Sham acupuncture |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Efficacy of Acupuncture in Treating Urinary Incontinence |
- Incontinent episodes [ Time Frame: baseline, 1 and 4 weeks post treatment and monthly during follow-up ] [ Designated as safety issue: No ]
- Health related quality of life [ Time Frame: Baseline, 1 & 4 weeks post-treatment and month 3 and 6 during follow-up ] [ Designated as safety issue: No ]
- Duration of any beneficial effects [ Time Frame: monthly during follow-up ] [ Designated as safety issue: No ]
- Bladder capacity [ Time Frame: Baseline and 4 weeks post-treatment ] [ Designated as safety issue: No ]
- Involuntary bladder contractions [ Time Frame: Baseline and 4 weeks post-treatment ] [ Designated as safety issue: No ]
- Characteristics of responders [ Time Frame: Baseline ] [ Designated as safety issue: No ]
- Burden associated with the acupuncture treatment protocol [ Time Frame: 1 & 4 weeks post-treatment ] [ Designated as safety issue: No ]
- Adverse events [ Time Frame: After each acupuncture treatment ] [ Designated as safety issue: Yes ]
- Need for booster acupuncture during follow-up [ Time Frame: Monthly during follow-up ] [ Designated as safety issue: No ]
- Response to booster acupuncture if needed [ Time Frame: After the booster sessions ] [ Designated as safety issue: No ]
- Adherence to the treatment protocol [ Time Frame: Weekly during the acupuncture treatment ] [ Designated as safety issue: No ]
- Pelvic floor muscle strength [ Time Frame: Baseline, 1 & 4 weeks post-treatment and month 3 and 6 during follow-up ] [ Designated as safety issue: No ]
| Enrollment: | 127 |
| Study Start Date: | October 2005 |
| Study Completion Date: | July 2011 |
| Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Acupuncture |
Procedure: Acupuncture
Acupuncture twice weekly for 6 weeks.
|
| Sham Comparator: Sham acupuncture |
Other: Sham acupuncture
Twice a week for 6 weeks
|
Detailed Description:
See Brief Summary
Eligibility| Ages Eligible for Study: | 25 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Urge or stress urinary incontinence at least twice a week on average for at least 3 months
Exclusion Criteria:
- History of previous acupuncture
- History of a neurologic problem such as Parkinson's disease or multiple sclerosis that could affect bladder function
- Current treatment with overactive bladder medications or medications that relax the bladder
- Urinary catheter
- Pregnancy
- Inability to empty the bladder effectively
- Inability to toilet independently
- Current treatment with steroid
- Interstitial cystitis
- Chronic pelvic pain
- Current treatment with warfarin
Contacts and Locations| United States, Pennsylvania | |
| University of Pittsburgh | |
| Pittsburgh, Pennsylvania, United States, 15213 | |
| Principal Investigator: | Sandra Engberg, PhD | University of Pittsburgh |
More Information
No publications provided
| Responsible Party: | University of Pittsburgh |
| ClinicalTrials.gov Identifier: | NCT00297427 History of Changes |
| Other Study ID Numbers: | R01 AT002175-01A1, R01AT002175-01A1 |
| Study First Received: | February 24, 2006 |
| Last Updated: | June 22, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by University of Pittsburgh:
|
urinary incontinence |
Additional relevant MeSH terms:
|
Urinary Incontinence Urination Disorders Urologic Diseases Urological Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013