Stress Urinary Incontinence
Conditions
Brief summary
The aim of the study is to investigate the effects of QRS®-1010 PelviCenter in female patients with stress urinary incontinence. Based on the available data on magnetic stimulation, the investigators hypothesize that magnetic stimulation via QRS®-1010 PelviCenter will reduce the number and amount of urinary leakage upon exertion as well as improve patients' quality of life.
Detailed description
A total of 120 female patients will be randomly assigned into two treatment groups (active arm and sham arm) in a 1:1 ratio. The standard QRS®-1010 PelviCenter treatment plan involves 16 sessions of 20 minutes each. Each subject will attend 2 sessions per week (total 16 sessions).
Interventions
50Hz active magnetic stimulation (coil position 100%) delivered to the pelvic floor muscles
50Hz sham magnetic stimulation (coil position 0%) delivered to the pelvic floor muscles
Sponsors
Study design
Eligibility
Inclusion criteria
* Female aged at least 21 years old * Demonstration of stress urinary incontinence by vaginal examination with half full bladder (200 to 250ml) * ICIQ UI SF score ≥ 6 points * Able and agree to carry out one hour pad test
Exclusion criteria
* Acute severe infections * Urinary tract infections and hematuria, active vaginal lesions or infections * Pelvic organ prolapse stage III and IV, severe urethral sphincter weakness/defect, suspected fistula * Severe cardiac arrhythmia * Cardiac pacemaker or other implanted metallic devices * History of pelvic irradiation * Pregnant, or actively trying to conceive. * Neurologic conditions such as epilepsy, Parkinson disease, multiple sclerosis * Patient who has been treated with electromagnetic stimulation * Concurrent medications with alpha-adrenergic antagonists (e.g. terazosin, tamsulosin, doxazosin), diuretics, serotonin/norepinephrine reuptake inhibitors (SNRIs) or any other medications known to worsen incontinence. * Post void residual volume of ≥ 200ml * Random blood sugar \>10 mmol/L * Patient who had pelvic or gynaecological surgery for less than three weeks * Patient scheduled for pelvic or gynaecological surgery in the next eight weeks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in International consultation on incontinence questionnaire for urinary incontinence-short form (ICIQ-UI SF) | Baseline, Week 4, 8. Follow-up at 3-,6- and 12-months post treatment |
Secondary
| Measure | Time frame |
|---|---|
| Change in Incontinence Episode Frequency (IEF) | Baseline, Week 4, 8. Follow-up at 3-,6- and 12-months post treatment |
| Change in 1-hour exercise (stress) pad test | Baseline, Week 4, 8. Follow-up at 3-,6- and 12-months post treatment |
| Change in Patient Global Impression of Improvement (PGI-I) | Week 4, 8. Follow-up at 3-,6- and 12-months post treatment |
| Change in International consultation on incontinence questionnaire-Lower Urinary Tract Symptoms Quality of Life (ICIQ-LUTSqol) | Baseline, Week 4, 8. Follow-up at 3-,6- and 12-months post treatment |
Countries
Malaysia