Bulkamid Treatment of Stress Incontinence in Women With Urinary Stress Incontinence and Not Suitable to TVT-procedure
Recruitment status was Recruiting
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Purpose
The aim of this prospective, randomized study of Bulkamid treatment is to investigate the efficacy of Bulkamid treatment in women with urinary stress incontinence not suitable to TVT-procedure because of suspected ISD.
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Stress Incontinence Treatment |
Device: Bulkamid Device: Bulkamid expectation |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Bulkamid Treatment of Stress Incontinence in Women With Urinary Stress Incontinence and Not Suitable to TVT-procedure Because of Suspected ISD: A Prospective Randomized Study |
- After 2 months a scheduled visit with a new pad-test will be performed and the questionnaires UDI-6 (lover urinary tract symptoms) and IIQ-7 (quality of life) will be filled in. [ Time Frame: 2 month ] [ Designated as safety issue: Yes ]
- After 12 months a scheduled visit with new pad-test will be performed and the questionnaires UDI-6 (lover urinary tract symptoms) and IIQ-7 (quality of life) will be filled in. [ Time Frame: 12 month ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 100 |
| Study Start Date: | October 2009 |
| Estimated Study Completion Date: | January 2011 |
| Estimated Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Bulkamid
Injection with Bulkamid
|
Device: Bulkamid
injection of Bulkamid in the urethra
Other Name: Bulkamid
|
|
expectance
The expectance arm will after 2 month have the same treatment as the treatment arm
|
Device: Bulkamid expectation
expectance
Other Name: after 2 month the patient can be treated
|
Detailed Description:
The aim of this prospective, randomized study is to investigate the effect of Bulkamid injection for women with urinary stress incontinence and not suitable to TVT-procedure because of suspected ISD and compare this treatment with no or traditional treatment. The primary endpoint for efficacy will be reduction of leakage during pad-test at 2 months compared with pad- test before injection.
Secondary endpoints will be patient satisfaction measured at both 2 and 12 months using a questionnaire and the number of side effects.
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Ability to understand the information and to give informed consent.
- At least 50 years of age
- History of urinary leakage during low grade physical activity. A woman with genuine stress incontinence has urinary incontinence during running or jumping. Women with suspected ISD have incontinence at much lower grade of physical activity such as slow walking or standing up and just coughing. Walking, standing up from a chair, and coughing are regarded as low grade of physical activity.
- A positive pad-test (after coughing 10 times) with increase of minimum of 10 grams of urine with 300 ml in the bladder or a 24 h pad-test of more than 100 mg of urine
- No hypermobility of the urethra during cough test.
- Low pressure of the urethra (optional?)
- With a of average miction volume of minimum 150 ml and at least one volume of more than 250
Exclusion Criteria:
- Women with hypermobility of the urethra during coughing and positive Bonney's test
- Women suitable for a TVT procedure.
- Positive urinary culture
- Urge incontinence
Contacts and Locations| Contact: P-G B Larsson, professor | +46500431445 | p-g.larsson@vgregion.se |
| Sweden | |
| Deprtm Ob/Gyn Östra Sjukhuset Sahlgrenska | Recruiting |
| Göteborg, Sweden, 41685 | |
| Contact: Corinne Pedroletti | |
| Principal Investigator: Corinne Pedroletti, Dr | |
| Deprtm Ob/Gyn universitetsjukhuset | Recruiting |
| Linköping, Sweden, 58185 | |
| Contact: Eva Fornell, Dr | |
| Principal Investigator: Eva Fornell, Dr | |
| Deprtm Ob/Gyn | Recruiting |
| Skövde, Sweden, SE54185 | |
| Contact: P-G Larsson, professor +46500431445 p-g.larsson@vgregion.se | |
| Principal Investigator: P-G Larsson, Dr | |
| Deprtm Ob/Gyn Södersjukhuset | Recruiting |
| Stockholm, Sweden, 11883 | |
| Contact: Gunilla Tegerstedt, Dr | |
| Principal Investigator: Gunilla Tegerstedt, Dr | |
| Deprtm Ob/Gyn, NU sjukvården | Recruiting |
| Trollhättan, Sweden, 46185 | |
| Contact: Ingegred Olsson, Dr | |
| Principal Investigator: Ingegerd Olssson, Dr | |
| Deprtm Ob/Gyn | Recruiting |
| Västerås, Sweden, 72189 | |
| Contact: Gregor Larsson, Dr | |
| Principal Investigator: Gergor Larsson, Dr | |
| Principal Investigator: | P-G Larsson, professor | Departm Ob/Gyn Kärnsjukhuset, 541 85 SKövde, Sweden |
More Information
No publications provided
| Responsible Party: | Professor P-G Larsson, departm Ob/Gyn |
| ClinicalTrials.gov Identifier: | NCT00984958 History of Changes |
| Other Study ID Numbers: | Bulkamid ISD2009 04 |
| Study First Received: | September 24, 2009 |
| Last Updated: | March 3, 2010 |
| Health Authority: | Sweden: Regional Ethical Review Board |
Additional relevant MeSH terms:
|
Urinary Incontinence, Stress Urinary Incontinence Urination Disorders |
Urologic Diseases Urological Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013