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Evaluation and Comparison of Efficacy Between Extracorporeal Magnetic Innervation and High-intensity Kegel Exercise Regimen in Treatment of Stress Urinary Incontinence in Female (KEMS-CRO)

Primary Purpose

Stress Urinary Incontinence

Status
Unknown status
Phase
Not Applicable
Locations
Croatia
Study Type
Interventional
Intervention
Peritron perineometer
Sponsored by
University of Zagreb
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Stress Urinary Incontinence

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • urodinamically confirmed stress urinary incontinence, at least one vaginal delivery in gynecological history.

Exclusion Criteria:

  • urinary tract malignancies, vulvovaginitis, current uroinfection, previous pelvic surgeries, neurologic and psychiatric diseases, previous conservative treatment of stress urinary incontinence in less than 6 months, Stage III and IV of genital prolapse, latex allergy.

Sites / Locations

  • Clinical Hospital Centre Zagreb, CroatiaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Kegel exercise

Magnetic stimulation

Arm Description

Using high-intensity Kegel exercise regimen for 8 weeks (5 times a week; 3 times a day involved; 3 sets of 10-12 contractions)

Using 16 extracorporeal magnetic innervation treatments during 8 weeks (2 times a week).

Outcomes

Primary Outcome Measures

Greater proportion of reduced ICIQ-SF score in magnetic stimulation arm group after 8 weeks of treatment
We assume that after 8 weeks of treatment, in magnetic stimulation arm of study, we will observe more treatment ''responders'' - with at least 4-point reduction in overall ICIQ-SF score

Secondary Outcome Measures

Greater proportion of increased perineometry value in magnetic stimulation arm group
We assume that after 8 weeks of treatment, in magnetic stimulation arm of study, we will observe more treatment ''responders'' - at least more than 30% of increase in overall vaginal pressure, measured by a Peritron perineometer
Greater proportion of better patient global improvement in magnetic stimulation arm group
We assume that after 3 months of treatment finish, in magnetic stimulation arm of study, we will observe more women who are satisfied with the treatment, compared to Kegel exercise arm - using Patient Global Improvement Score (PGI-I)

Full Information

First Posted
March 10, 2020
Last Updated
August 24, 2020
Sponsor
University of Zagreb
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1. Study Identification

Unique Protocol Identification Number
NCT04307680
Brief Title
Evaluation and Comparison of Efficacy Between Extracorporeal Magnetic Innervation and High-intensity Kegel Exercise Regimen in Treatment of Stress Urinary Incontinence in Female
Acronym
KEMS-CRO
Official Title
Evaluation and Comparison of Short-term Efficacy Between Extracorporeal Magnetic Innervation and High-intensity Kegel Exercise Regimen
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Unknown status
Study Start Date
August 2, 2020 (Actual)
Primary Completion Date
January 2, 2021 (Anticipated)
Study Completion Date
January 10, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Zagreb

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The aim of this prospective, randomized controlled study is to evaluate and compare efficacy between the most available conservative treatment (magnetic stimulation and Kegel exercise) for stress urinary incontinence in Croatia. We will assess quality-of-life, patient global improvement, and vaginal pressure measured with perineometer in three different time points: at the enrollment, after 8 weeks of treatment and 3 months after the both treatments are done.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stress Urinary Incontinence

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Kegel exercise
Arm Type
Active Comparator
Arm Description
Using high-intensity Kegel exercise regimen for 8 weeks (5 times a week; 3 times a day involved; 3 sets of 10-12 contractions)
Arm Title
Magnetic stimulation
Arm Type
Active Comparator
Arm Description
Using 16 extracorporeal magnetic innervation treatments during 8 weeks (2 times a week).
Intervention Type
Device
Intervention Name(s)
Peritron perineometer
Intervention Description
Perineometry will be used to assess quality of each observed treatment modality.
Primary Outcome Measure Information:
Title
Greater proportion of reduced ICIQ-SF score in magnetic stimulation arm group after 8 weeks of treatment
Description
We assume that after 8 weeks of treatment, in magnetic stimulation arm of study, we will observe more treatment ''responders'' - with at least 4-point reduction in overall ICIQ-SF score
Time Frame
8 weeks from the start of the treatment
Secondary Outcome Measure Information:
Title
Greater proportion of increased perineometry value in magnetic stimulation arm group
Description
We assume that after 8 weeks of treatment, in magnetic stimulation arm of study, we will observe more treatment ''responders'' - at least more than 30% of increase in overall vaginal pressure, measured by a Peritron perineometer
Time Frame
8 weeks
Title
Greater proportion of better patient global improvement in magnetic stimulation arm group
Description
We assume that after 3 months of treatment finish, in magnetic stimulation arm of study, we will observe more women who are satisfied with the treatment, compared to Kegel exercise arm - using Patient Global Improvement Score (PGI-I)
Time Frame
3 months from treatment finish

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: urodinamically confirmed stress urinary incontinence, at least one vaginal delivery in gynecological history. Exclusion Criteria: urinary tract malignancies, vulvovaginitis, current uroinfection, previous pelvic surgeries, neurologic and psychiatric diseases, previous conservative treatment of stress urinary incontinence in less than 6 months, Stage III and IV of genital prolapse, latex allergy.
Facility Information:
Facility Name
Clinical Hospital Centre Zagreb, Croatia
City
Zagreb
ZIP/Postal Code
10 000
Country
Croatia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mislav Mikuš, MD
Phone
+ 385 1 460 4646
Email
m.mikus19@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Time Frame
From February 2021.

Learn more about this trial

Evaluation and Comparison of Efficacy Between Extracorporeal Magnetic Innervation and High-intensity Kegel Exercise Regimen in Treatment of Stress Urinary Incontinence in Female

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