Over Active Bladder, Stress Urinary Incontinence, Urge Urinary Incontinence, Urinary Incontinence
Conditions
Brief summary
The purpose of this study is to assess the feasibility of recruiting women with urinary incontinence into a randomized controlled trial of a yoga therapy program.
Interventions
OTHERYoga Therapy Program
Sponsors
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
40 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women aged 40 years or older who report urinary incontinence for \> 3 months prior to screening * Self-report at least 7 urinary incontinence episodes per week on a screening 7-day voiding diary * Self-report urgency-predominant, stress-predominant, or mixed-type incontinence on the screening voiding diary * Willing to refrain from initiating medical treatments that may affect their incontinence or voiding pattern during the study period * Capable of understanding study procedures and giving informed consent
Exclusion criteria
* Participation in a yoga class or other formal or organized yoga instruction in the past year * Any prior yoga therapy directed specifically at improving urinary incontinence or pelvic floor dysfunction * Current use of medical therapy or device (i.e. pessary) for incontinence or use within the previous month * Currently pregnant, gave birth within the past 6 months, or planning pregnancy during the study period * Current urinary tract infection or a history or 3 or more urinary tract infections in the preceding year * Report history of neurologic conditions such as stroke, multiple sclerosis, spinal cord injury, or Parkinson's disease, or a lumbosacral spine condition associated with neurological symptoms * Unable to walk up a flight of stairs or at least 2 blocks on level ground without assistance * Unable to get up from a supine to a standing position in 10 seconds or less and without assistance * Severe obesity, defined as body mass index \> 35 kg/m2 on screening examination * Report history of interstitial cystitis, fistula or hole in bladder or rectum, or birth defect leading to urine leakage * Report any history of prior anti-incontinence or urethral surgery (not including urethral dilation), pelvic cancer, or pelvic irradiation for any reason * Report use of bladder botox, electrostimulation, bladder training, or pelvic floor exercise training (with certified practitioners) in the past 3 months * Report other surgery to the pelvis (hysterectomy, oophorectomy, vaginal surgery, bladder surgery, colon surgery) within the past 3 months * Report symptomatic pelvic organ prolapse * Report history of vulvodynia, chronic pelvic pain, or pain when practicing pelvic floor exercises * Report conditions that, in the judgment of the investigators, render potential participants unlikely to follow the protocol, including plans to move, substance abuse, significant psychiatric problems, or dementia * Participation in another research study that involves investigational drugs or devices that could potentially confound the results of this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the number of incontinence episodes over 7 days, with 95% confidence intervals, between baseline and 6 weeks | 6 weeks |
Countries
United States
Outcome results
None listed