Overactive Bladder
Conditions
Keywords
non-neurogenic over active bladder, urge predominant incontinence
Brief summary
Subjects with non-neurogenic over-active bladder will be enrolled. The hypothesis is that augmentation cystoplasty using an autologous neo-bladder construct will increase functional capacity and thereby reduce the number of micturition episodes per day in subjects with non-neurogenic over active bladder and urge predominant incontinence.
Detailed description
Subjects with non-neurogenic over-active bladder and urge predominant incontinence who are intolerant to medical therapy or have persistence of symptoms despite medical therapy and require augmentation cystoplasty will be enrolled. The hypothesis is that augmentation cystoplasty using an autologous neo-bladder construct will increase functional capacity and thereby reduce the number of micturition episodes per day in subjects with non-neurogenic over active bladder and urge predominant incontinence.
Interventions
provision of an autologous neo-bladder construct
Sponsors
Study design
Eligibility
Inclusion criteria
* History of non-neurogenic overactive bladder for at least 12 months prior to study entry * Intolerance to medical therapy or persistence of symptoms despite medical therapy
Exclusion criteria
* Subjects with stress incontinence or mixed incontinence where the predominant component is stress incontinence * Use of Botulinum Toxin A injections into the bladder within the previous 6 months * Presence of a neuromodulator * Using catheterization as a way to control incontinence * History of bladder cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean number of micturitions per day | 12 months |
| Overall safety | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Mean voided volumes, mean number of incontinent episodes, mean number of micturitions, cystometric capacity, detrusor pressure, end filling pressure and complaince | periodically within first 12 months as well as during long term follow up out to 5 years |
Countries
United States