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Rectal Balloon Training in Female Urinary Incontinence

Phase 2B Study of Rectal Ballooning Training in Female Urinary Incontinence

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01245153
Enrollment
28
Registered
2010-11-22
Start date
2010-11-30
Completion date
2011-10-31
Last updated
2016-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urinary Incontinence

Keywords

Urinary incontinence, Pelvic floor muscle training

Brief summary

Urinary incontinence (UI) is a common and worldwide problem.Although pelvic floor muscle training(PFMT) is the standard recommendation for conservative treatment but some patients had difficulty doing PFMT. They could not locate the pelvic floor muscles, and so could not perform the PFMT properly or increase intensity of the exercise. The authors hypothesized that rectal balloon training(RBT) may improve patients' pelvic floor recognition as well as it is another option of progressive strengthening of pelvic floor muscle. This study's aim is to combine RBT with PFMT using the water-filled balloons of Foley catheters

Detailed description

This study's aim is to combine RBT with PFMT using the water-filled balloons of Foley catheters. The catheter would be inserted into the rectum and used as a tool to help the patient recognize the pelvic floor muscles. The advantages of Foley catheters are that they are cheap, safe for contacting the mucosa, easy for self-insertion, and can be reused. Furthermore, we can increase the load of exercise by increasing the amount of water pushing into the balloon, and can use that as a tool for progressive resistive exercise.

Interventions

OTHERRectal Balloon Training

Subjects in combined RBT and PFMT group are taught for foley catheter insertion technique. The catheter is inserted into the rectum until the lower end of the balloon is 1 cm inside from the anus. Then the balloon is blown with clean water starting at 10 cc. Then the volume is progress to 15 cc in 3rd week and 20 cc in 5th week

Standard pelvic floor muscle exercise (Pelvic floor muscle training;PFMT) is assigned for 6 weeks.

Sponsors

Chulalongkorn University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
25 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Female * Age 25 - 70 years * Have urinary incontinence problem * Follow command * Informed consent

Exclusion criteria

* Previous surgical correction of UI * Use medications for treating overactive bladder symptoms * Impaired recent and/or recall memory * Brain and/or Spinal cord lesion * Untreated Urinary tract infection * Anal lesion which contradicted for inserting instrument * Prolapsed rectum * Prolapsed uterus * History of pelvic injury * Pregnancy

Design outcomes

Primary

MeasureTime frameDescription
Pelvic floor muscle strengthChange from baseline in pelvic floor muscle strength at 6 weeksPelvic floor muscle strength will be assessed by biofeedback and recorded in unit of mmHg.

Secondary

MeasureTime frameDescription
Clinical symptomsAt the first time then 6 weeks laterClinical symptoms are assessed from questionaire and one-hour pad test

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026