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Combined Treatment for Mixed Incontinence

Effects of Surgical Treatment Enhanced With Exercise for Mixed Urinary Incontinence (ESTEEM)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01959347
Acronym
ESTEEM
Enrollment
480
Registered
2013-10-10
Start date
2013-10-28
Completion date
2017-09-29
Last updated
2020-05-14

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

Conditions

Urinary Incontinence, Stress, Urinary Incontinence, Urge

Keywords

urinary incontinence, midurethral sling, pelvic floor therapy

Brief summary

The overarching goal of this randomized trial is to estimate the effect of combined midurethral sling (MUS) and peri-operative behavioral/pelvic floor therapy (BPTx) compared to MUS alone on successful treatment of MUI symptoms in 472 women. Secondary objectives include estimating the effect of combined treatment compared to MUS on improving overactive bladder (OAB) and stress urinary incontinence (SUI) outcomes separately, need for additional treatment, time to failure and identifying predictors of poor outcomes in this MUI population. A supplemental study, The Human Microbiome Study of ESTEEM, will evaluate the urinary and vaginal microbiome as it relates to women with MUI, their treatment and unaffected controls.

Detailed description

ESTEEM is a multi-center randomized trial of 472 women with MUI who have elected to undergo surgical treatment for SUI. Participants will be randomized to a peri-operative BPTx program+MUS versus MUS alone. The purpose is to compare combined MUS+BPTx versus MUS alone (control) on improving MUI symptoms at 1 year. Patients will be assigned to one of the two treatment groups. Randomization will be stratified by clinical site and by UUI severity, which will be defined by the number of urgency urinary IEs on diary. The primary outcome for this study is the mean change from baseline in UDI-total score at 1 year postoperative. The UDI is a validated, disease-specific, patient-reported outcome (PRO) measure. Secondary outcomes UUI/OAB outcomes will be measured using the UDI-irritative subscale that measures symptom burden, impact, and changes related to OAB. It is highly responsive to treatment-related change and is able to discriminate among levels of change in all bladder diary variables (urinary urgency, frequency and urge incontinence) and patient ratings of treatment benefit that will characterize how MUS may affect all OAB symptoms individually and as a whole. SUI symptom outcomes will be measured using the UDI-stress subscale to compare SUI outcomes between women randomized to MUS + BPTx versus MUS alone. Other UUI/OAB outcomes that will be compared between groups include 1) the change in IE frequency and type, number of urgency episodes, urgency severity with voids, number of diurnal voids, and number of nocturnal voids using a bladder diary; 2) patient satisfaction with treatment using the OAB-SAT-q; 3) bother and heal related quality of life using the OAB-q subscale For analyzing time to failure, failure will be defined as initiation of any additional treatment for either SUI or UUI/OAB symptoms during the follow-up period. Subjects lost to follow up will be censored at the time of their last visit. Quality of life/global impression will be assessed be compared between treatment groups using the a) Incontinence Impact Questionnaire (IIQ), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ), c) European Quality of Life-5 Dimensions (EQ-5D), d) Adaptation Index and e) Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity (PGI-S). Safety/additional treatments will be characterized as a) additional re-treatments for SUI or UUI within 12 months of treatment, and type of re-treatment and b) return to OR for sling revision due to worsened OAB symptoms. To evaluate the association between PFM strength and improvements in UI symptoms, we will objectively assess PFM strength changes using the Peritron Perineometer, and instrument specifically designed for pelvic floor assessment.

Interventions

PROCEDUREMiduretheral Sling

MUS can include the TVT™ (mechanical cut mesh only, Gynecare, ETHICON Women's Health & Urology, Somerville, NJ), TVT-O™ (mechanical cut mesh only, Gynecare), or Monarc™ (American Medical Systems, Minnetonka, MN).

OTHERMiduretheral Sling with behavioral/pelvic floor therapy

MUS is combined with components of behavioral therapy (designed to change behaviors to encourage continence), and pelvic floor muscle therapy (designed to strengthen the pelvic floor muscles, enhance the physiological closure of the bladder neck, and improve coordination). This is done prior to MUS (1 visit) and after MUS for 5 visits at 2, 4, 6, 8 weeks and 6 months.

Sponsors

Women and Infants Hospital of Rhode Island
CollaboratorOTHER
The Cleveland Clinic
CollaboratorOTHER
Duke University
CollaboratorOTHER
University of Alabama at Birmingham
CollaboratorOTHER
University of New Mexico
CollaboratorOTHER
University of Pennsylvania
CollaboratorOTHER
University of Pittsburgh
CollaboratorOTHER
University of California, San Diego
CollaboratorOTHER
Kaiser Permanente
CollaboratorOTHER
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
CollaboratorNIH
RTI International
CollaboratorOTHER
NICHD Pelvic Floor Disorders Network
Lead SponsorNETWORK

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)

Eligibility

Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Presence of both SUI and UUI on bladder diary; and \> 2 IEs/3 days 1. \> 1 Stress IE/3 day diary 2. \> 1 Urge IE/3 day diary 2. Reporting at least moderate bother from UUI item on the UDI Do you usually experience urine leakage associated with a feeling of urgency, that is a strong sensation of needing to go to the bathroom? 3. Reporting at least moderate bother from SUI item on UDI Do you usually experience urine leakage related to coughing, sneezing, or laughing 4. Diagnosis of SUI defined by a positive cough stress test (CST) or urodynamic evaluation within the past 18 months 5. Desires surgical treatment for SUI symptoms 6. Urinary symptoms \>3 months 7. Subjects understand that BPTx is a treatment option for MUI outside of ESTEEM study protocol 8. Urodynamics within past 18 months

Exclusion criteria

1. Anterior or apical compartment prolapse at or beyond the hymen (\>0 on POPQ), regardless if patient is symptomatic a)Women with anterior or apical prolapse above the hymen (\<0) who do not report vaginal bulge symptoms will be eligible 2. Planned concomitant surgery for anterior vaginal wall or apical prolapse \> 0 a)Women undergoing only rectocele repair are eligible 3. Women undergoing hysterectomy for any indication will be excluded 4. Active pelvic organ malignancy 5. Age \<21 years 6. Pregnant or plans for future pregnancy in next 12 months, or within 12 months post-partum 7. Post-void residual \>150 cc on 2 occasions, or current catheter use 8. Participation in other trial that may influence results of this study 9. Unevaluated hematuria 10. Prior sling, synthetic mesh for prolapse, implanted nerve stimulator for incontinence 11. Spinal cord injury or advanced/severe neurologic conditions including Multiple Sclerosis, Parkinsons 12. Women on anti-muscarinic therapy will be eligible after 3 week wash-out period 13. Non-ambulatory 14. History of serious adverse reaction to synthetic mesh 15. Not able to complete study assessments per clinician judgment, or not available for 12 month follow-up 16. Women who only report other IE on bladder diary, and do not report at minimum 1 stress and 1 urge IE/3 days 17. Diagnosis of and/or history of bladder pain or chronic pelvic pain 18. Women who had intravesical Botox injection within the past 12 months

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline UDI Total Score3, 6, and 12 MonthsThe Urogenital Distress Inventory (UDI) is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI scale has a range from 0 to 300 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Secondary

MeasureTime frameDescription
Change From Baseline UDI Stress Score3, 6, and 12 MonthsThe Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Stress subscale has a range from 0 to 100 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline UDI Irritative Score3, 6, and 12 MonthsThe Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Irritative subscale has a range from 0 to 100 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline UDI Obstructive Score3, 6, and 12 MonthsThe Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Obstructive subscale has a range from 0 to 100 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Other

MeasureTime frameDescription
Change From Baseline Number of Wet Pads Per Day2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of wet pads per day at 2 weeks, 2, 6, or 12 months and the number of wet pads per day at baseline.
Change From Baseline Number of Pads Per Day2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in total number of pads per day at 2 weeks, 2, 6, or 12 months and the total number of pads per day at baseline.
Change From Baseline Number of Daytime Voids2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of daytime voids at 2 weeks, 2, 6, or 12 months and the number of daytime voids at baseline.
Change From Baseline Number of Nighttime Voids2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of nighttime voids at 2 weeks, 2, 6, or 12 months and the number of nighttime voids at baseline.
Change From Baseline Number of Urgency Voids Without Incontinence2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of urgency voids without incontinence at 2 weeks, 2, 6, or 12 months and the number of urgency voids without incontinence at baseline.
Number of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, for participants with \>8 voids at baseline, the outcome is calculated as Yes=no more than 8 voids noted at the time point, No=Otherwise
Number of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome is calculated as Yes=at least 50% reduction in the number of voids between 2 weeks, 2, 6, and 12 months and baseline, No=Otherwise
Number of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome is calculated as Yes=greater than baseline number of voids at the time point or with greater than 8 voids at the time point, No=Otherwise
Change From Baseline PISQ-IR NSAPR Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Partner Related subscale (NSA-PR) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR NSACS Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Sexually Active-Condition Specific subscale (NSA-CS) ranges from 0 to 100 with worse scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR NSAGQR Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Sexually Active-Global Quality Rating subscale (NSA-GQR) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR NSACI Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Sexually Active-Condition Impact subscale (NSA-CI) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR SAAO Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Arousal, Orgasm subscale (SA-AO) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR SAPR Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Partner Related subscale (SA-PR) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR SACS Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Condition Specific subscale (SA-CS) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR SAGQR Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Global Quality Rating subscale (SA-GQR) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR SACI Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Condition Impact subscale (SA-CI) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline PISQ-IR SAD Score3, 6, and 12 MonthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Desire subscale (SA-D) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline EQ-5D Index Score3, 6, and 12 MonthsEQ-5D is a standardized instrument developed by the EuroQol Group as a measure of health-related quality of life. The index score ranges from 0 to 1 with higher scores indicating a better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline EQ-5D Visual Analog Scale Score3, 6, and 12 MonthsEQ-5D is a standardized instrument developed by the EuroQol Group as a measure of health-related quality of life. The visual analog scale (VAS) score ranges from 0 to 100 with higher scores indicating a better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline OABq-LF Symptom Severity Score3, 6, and 12 MonthsThe Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Symptom Severity score ranges from 0 to 100 with higher score indicating worse quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline OABq-LF Coping Score3, 6, and 12 MonthsThe Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Coping score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline OABq-LF Concern Score3, 6, and 12 MonthsThe Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Concern score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline OABq-LF Sleep Score3, 6, and 12 MonthsThe Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Sleep score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline OABq-LF Social Score3, 6, and 12 MonthsThe Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Social score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline OABq-LF HRQL Total Score3, 6, and 12 MonthsThe Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF HRQL score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
OAB-SATq Satisfaction Score3, 6, and 12 MonthsThe Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Satisfaction score ranges from 0 to 100 with higher scores indicating higher satisfaction.
OAB-SATq Side Effect Score3, 6, and 12 MonthsThe Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Side Effect score ranges from 0 to 100 with higher scores indicating fewer side effects.
OAB-SATq Endorsement Score3, 6, and 12 MonthsThe Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Endorsement score ranges from 0 to 100 with higher scores indicating greater endorsement.
OAB-SATq Convenience Score3, 6, and 12 MonthsThe Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Convenience score ranges from 0 to 100 with higher scores indicating greater convenience.
OAB-SATq Preference Score3, 6, and 12 MonthsThe Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The preference score is a binary \[yes/no\] indicator as to whether a subject indicated slight or definite preference for the treatment among women that have had previous treatment for overactive bladder. The outcome is the percentage of participants that prefer the current treatment to previous treatments.
Change From Baseline IIq-LF Physical Activity Score3, 6, and 12 MonthsThe Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Physical Activity score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline IIq-LF Travel Score3, 6, and 12 MonthsThe Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Travel score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline IIq-LF Social Relationship Score3, 6, and 12 MonthsThe Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Social Relationship score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline IIq-LF Emotional Health Score3, 6, and 12 MonthsThe Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Emotional Health score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline IIq-LF Total Score3, 6, and 12 MonthsThe Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Total score ranges from 0 to 400 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline ADI Hygiene Score3, 6, and 12 MonthsThe Adaptation Index is a standardized measure of health-related quality of life. The ADI Hygiene score ranges from 0 to 100 with higher score indicating worse severity in adaptive behaviors. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline ADI Avoidance Score3, 6, and 12 MonthsThe Adaptation Index is a standardized measure of health-related quality of life. The ADI Avoidance score ranges from 0 to 100 with higher score indicating worse severity in adaptive behaviors. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Change From Baseline Brink Score2 weeks and 2 and 12 MonthsThe Brink scale considers three pelvic floor muscle contraction variables: vaginal pressure or muscle force, elevation or vertical displacement of the examiner fingers, and duration of contraction. The score ranges from 3 to 12 with higher scores indicating greater PFM function. The change from baseline outcome is calculated as the difference in score at 3 or 12 months and the score at baseline.
Change From Baseline Number of Stress Incontinence Episodes2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of stress incontinence episodes at 2 weeks, 2, 6, or 12 months and the number of stress incontinence episodes at baseline.
PGI-I3, 6, and 12 MonthsThe Patient Global Impression of Improvement (PGI-I) is a patient-reported measure of perceived improvement with treatment, as assessed on a scale of 1 (very much better) to 7 (very much worse). Included here are participants who had improvement as indicated by a rating of 1 (very much better), 2 (much better).
PGI-SBaseline 3, 6, and 12 MonthsThe Patient Global Impression of Severity (PGI-S) is a patient-reported measure of perceived severity of condition, as assessed on a scale of 1 (Normal) to 4 (Severe). Included here are participants who reported Normal or Mild severity as indicated by a rating of 1 or 2.
Change From Average Peak Muscle Contraction Pressure (cm H2O)2 weeks and 2 and 12 MonthsThe average peak muscle contraction is measured during a physical exam. The outcome is calculated as the difference in measured value at 3 or 12 months and the score at baseline.
Change From Baseline Number of Urge Incontinence Episodes2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of urge incontinence episodes at 2 weeks, 2, 6, or 12 months and the number of urge incontinence episodes at baseline.
Change From Baseline Number of Unknown Incontinence Episodes2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of unknown incontinence episodes at 2 weeks, 2, 6, or 12 months and the number of unknown incontinence episodes at baseline.
Change From Baseline Total Number of Incontinence Episodes2 weeks and 2, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in total number of incontinence episodes at 2 weeks, 2, 6, or 12 months and the total number of incontinence episodes at baseline.

Countries

United States

Participant flow

Participants by arm

ArmCount
MUS Only
Midurethral sling alone
229
MUS+BPTx
Midurethral sling and behavioral/pelvic floor therapy
235
Total464

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyProtocol Violation97

Baseline characteristics

CharacteristicMUS OnlyMUS+BPTxTotal
Age, Continuous53.6 years
STANDARD_DEVIATION 10.4
54.3 years
STANDARD_DEVIATION 11
54 years
STANDARD_DEVIATION 10.7
Body Mass Index32.3 kg/m^2
STANDARD_DEVIATION 7
31.7 kg/m^2
STANDARD_DEVIATION 7
32 kg/m^2
STANDARD_DEVIATION 7
Current Smoker
No
200 Participants203 Participants403 Participants
Current Smoker
Unknown or Not Reported
1 Participants0 Participants1 Participants
Current Smoker
Yes
28 Participants32 Participants60 Participants
Ever Pregnant
No
10 Participants15 Participants25 Participants
Ever Pregnant
Unknown or Not Reported
1 Participants0 Participants1 Participants
Ever Pregnant
Yes
218 Participants220 Participants438 Participants
Menstrual Status
not sure
28 Participants32 Participants60 Participants
Menstrual Status
post-menopausal
124 Participants138 Participants262 Participants
Menstrual Status
pre-menopausal
76 Participants65 Participants141 Participants
Menstrual Status
Unknown or Not Reported
1 Participants0 Participants1 Participants
Number of Cesarean Deliveries0 Number of deliveries0 Number of deliveries0 Number of deliveries
Number of Vaginal Deliveries2 Number of deliveries2 Number of deliveries2 Number of deliveries
Race/Ethnicity, Customized
American Indian/Alaskan Native
3 Participants7 Participants10 Participants
Race/Ethnicity, Customized
Asian
1 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Black/African American
19 Participants22 Participants41 Participants
Race/Ethnicity, Customized
Hispanic/Latina
56 Participants49 Participants105 Participants
Race/Ethnicity, Customized
More than one race
1 Participants2 Participants3 Participants
Race/Ethnicity, Customized
Not Hispanic/Not Latina
169 Participants184 Participants353 Participants
Race/Ethnicity, Customized
Other
23 Participants19 Participants42 Participants
Race/Ethnicity, Customized
Unknown/Not Reported
4 Participants2 Participants3 Participants
Race/Ethnicity, Customized
White
181 Participants181 Participants362 Participants
Sex/Gender, Customized
Female
229 Participants235 Participants464 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 2380 / 242
other
Total, other adverse events
163 / 238172 / 242
serious
Total, serious adverse events
28 / 23821 / 242

Outcome results

Primary

Change From Baseline UDI Total Score

The Urogenital Distress Inventory (UDI) is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI scale has a range from 0 to 300 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline UDI Total Score3 Months-138.8 units on a scale
MUS OnlyChange From Baseline UDI Total Score6 Months-137 units on a scale
MUS OnlyChange From Baseline UDI Total Score12 Months-137.9 units on a scale
MUS+BPTxChange From Baseline UDI Total Score3 Months-142.7 units on a scale
MUS+BPTxChange From Baseline UDI Total Score6 Months-147.4 units on a scale
MUS+BPTxChange From Baseline UDI Total Score12 Months-147.7 units on a scale
Secondary

Change From Baseline UDI Irritative Score

The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Irritative subscale has a range from 0 to 100 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline UDI Irritative Score3 Months-49.7 units on a scale
MUS OnlyChange From Baseline UDI Irritative Score6 Months-49.5 units on a scale
MUS OnlyChange From Baseline UDI Irritative Score12 Months-50 units on a scale
MUS+BPTxChange From Baseline UDI Irritative Score3 Months-50.1 units on a scale
MUS+BPTxChange From Baseline UDI Irritative Score6 Months-53.5 units on a scale
MUS+BPTxChange From Baseline UDI Irritative Score12 Months-53.5 units on a scale
Secondary

Change From Baseline UDI Obstructive Score

The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Obstructive subscale has a range from 0 to 100 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline UDI Obstructive Score3 Months-18.5 units on a scale
MUS OnlyChange From Baseline UDI Obstructive Score6 Months-18 units on a scale
MUS OnlyChange From Baseline UDI Obstructive Score12 Months-18.5 units on a scale
MUS+BPTxChange From Baseline UDI Obstructive Score3 Months-20.2 units on a scale
MUS+BPTxChange From Baseline UDI Obstructive Score6 Months-21.1 units on a scale
MUS+BPTxChange From Baseline UDI Obstructive Score12 Months-20.3 units on a scale
Secondary

Change From Baseline UDI Stress Score

The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Stress subscale has a range from 0 to 100 with higher scores indicating greater distress. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline UDI Stress Score3 Months-70.6 units on a scale
MUS OnlyChange From Baseline UDI Stress Score6 Months-69.5 units on a scale
MUS OnlyChange From Baseline UDI Stress Score12 Months-69.3 units on a scale
MUS+BPTxChange From Baseline UDI Stress Score3 Months-72.5 units on a scale
MUS+BPTxChange From Baseline UDI Stress Score6 Months-72.8 units on a scale
MUS+BPTxChange From Baseline UDI Stress Score12 Months-73.8 units on a scale
Other Pre-specified

Change From Average Peak Muscle Contraction Pressure (cm H2O)

The average peak muscle contraction is measured during a physical exam. The outcome is calculated as the difference in measured value at 3 or 12 months and the score at baseline.

Time frame: 2 weeks and 2 and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Average Peak Muscle Contraction Pressure (cm H2O)0.5 Months3.7 cm H2O
MUS OnlyChange From Average Peak Muscle Contraction Pressure (cm H2O)2 Months5 cm H2O
MUS OnlyChange From Average Peak Muscle Contraction Pressure (cm H2O)12 Months4 cm H2O
MUS+BPTxChange From Average Peak Muscle Contraction Pressure (cm H2O)0.5 Months0.7 cm H2O
MUS+BPTxChange From Average Peak Muscle Contraction Pressure (cm H2O)2 Months4.6 cm H2O
MUS+BPTxChange From Average Peak Muscle Contraction Pressure (cm H2O)12 Months4.4 cm H2O
Other Pre-specified

Change From Baseline ADI Avoidance Score

The Adaptation Index is a standardized measure of health-related quality of life. The ADI Avoidance score ranges from 0 to 100 with higher score indicating worse severity in adaptive behaviors. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline ADI Avoidance Score3 Months-31.3 units on a scale
MUS OnlyChange From Baseline ADI Avoidance Score6 Months-32.5 units on a scale
MUS OnlyChange From Baseline ADI Avoidance Score12 Months-33 units on a scale
MUS+BPTxChange From Baseline ADI Avoidance Score3 Months-33.8 units on a scale
MUS+BPTxChange From Baseline ADI Avoidance Score6 Months-34.5 units on a scale
MUS+BPTxChange From Baseline ADI Avoidance Score12 Months-35.7 units on a scale
Other Pre-specified

Change From Baseline ADI Hygiene Score

The Adaptation Index is a standardized measure of health-related quality of life. The ADI Hygiene score ranges from 0 to 100 with higher score indicating worse severity in adaptive behaviors. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline ADI Hygiene Score3 Months-32.1 units on a scale
MUS OnlyChange From Baseline ADI Hygiene Score6 Months-34.6 units on a scale
MUS OnlyChange From Baseline ADI Hygiene Score12 Months-35.5 units on a scale
MUS+BPTxChange From Baseline ADI Hygiene Score6 Months-37.6 units on a scale
MUS+BPTxChange From Baseline ADI Hygiene Score3 Months-36.7 units on a scale
MUS+BPTxChange From Baseline ADI Hygiene Score12 Months-38.8 units on a scale
Other Pre-specified

Change From Baseline Brink Score

The Brink scale considers three pelvic floor muscle contraction variables: vaginal pressure or muscle force, elevation or vertical displacement of the examiner fingers, and duration of contraction. The score ranges from 3 to 12 with higher scores indicating greater PFM function. The change from baseline outcome is calculated as the difference in score at 3 or 12 months and the score at baseline.

Time frame: 2 weeks and 2 and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Brink Score0.5 Months0.5 units on a scale
MUS OnlyChange From Baseline Brink Score2 Months0.5 units on a scale
MUS OnlyChange From Baseline Brink Score12 Months0.6 units on a scale
MUS+BPTxChange From Baseline Brink Score0.5 Months0.2 units on a scale
MUS+BPTxChange From Baseline Brink Score2 Months0.6 units on a scale
MUS+BPTxChange From Baseline Brink Score12 Months0.6 units on a scale
Other Pre-specified

Change From Baseline EQ-5D Index Score

EQ-5D is a standardized instrument developed by the EuroQol Group as a measure of health-related quality of life. The index score ranges from 0 to 1 with higher scores indicating a better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline EQ-5D Index Score3 Months0 units on a scale
MUS OnlyChange From Baseline EQ-5D Index Score6 Months0 units on a scale
MUS OnlyChange From Baseline EQ-5D Index Score12 Months0 units on a scale
MUS+BPTxChange From Baseline EQ-5D Index Score3 Months0 units on a scale
MUS+BPTxChange From Baseline EQ-5D Index Score6 Months0 units on a scale
MUS+BPTxChange From Baseline EQ-5D Index Score12 Months0 units on a scale
Other Pre-specified

Change From Baseline EQ-5D Visual Analog Scale Score

EQ-5D is a standardized instrument developed by the EuroQol Group as a measure of health-related quality of life. The visual analog scale (VAS) score ranges from 0 to 100 with higher scores indicating a better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline EQ-5D Visual Analog Scale Score3 Months0.3 units on a scale
MUS OnlyChange From Baseline EQ-5D Visual Analog Scale Score6 Months2.5 units on a scale
MUS OnlyChange From Baseline EQ-5D Visual Analog Scale Score12 Months1.2 units on a scale
MUS+BPTxChange From Baseline EQ-5D Visual Analog Scale Score3 Months4 units on a scale
MUS+BPTxChange From Baseline EQ-5D Visual Analog Scale Score6 Months3.1 units on a scale
MUS+BPTxChange From Baseline EQ-5D Visual Analog Scale Score12 Months4.8 units on a scale
Other Pre-specified

Change From Baseline IIq-LF Emotional Health Score

The Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Emotional Health score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline IIq-LF Emotional Health Score3 Months-38.4 units on a scale
MUS OnlyChange From Baseline IIq-LF Emotional Health Score6 Months-38.6 units on a scale
MUS OnlyChange From Baseline IIq-LF Emotional Health Score12 Months-38.3 units on a scale
MUS+BPTxChange From Baseline IIq-LF Emotional Health Score3 Months-40.7 units on a scale
MUS+BPTxChange From Baseline IIq-LF Emotional Health Score6 Months-41.5 units on a scale
MUS+BPTxChange From Baseline IIq-LF Emotional Health Score12 Months-42.8 units on a scale
Other Pre-specified

Change From Baseline IIq-LF Physical Activity Score

The Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Physical Activity score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline IIq-LF Physical Activity Score3 Months-39.2 units on a scale
MUS OnlyChange From Baseline IIq-LF Physical Activity Score6 Months-39.1 units on a scale
MUS OnlyChange From Baseline IIq-LF Physical Activity Score12 Months-42.3 units on a scale
MUS+BPTxChange From Baseline IIq-LF Physical Activity Score3 Months-40.9 units on a scale
MUS+BPTxChange From Baseline IIq-LF Physical Activity Score6 Months-42.1 units on a scale
MUS+BPTxChange From Baseline IIq-LF Physical Activity Score12 Months-42.5 units on a scale
Other Pre-specified

Change From Baseline IIq-LF Social Relationship Score

The Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Social Relationship score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline IIq-LF Social Relationship Score3 Months-28.9 units on a scale
MUS OnlyChange From Baseline IIq-LF Social Relationship Score6 Months-28.6 units on a scale
MUS OnlyChange From Baseline IIq-LF Social Relationship Score12 Months-30 units on a scale
MUS+BPTxChange From Baseline IIq-LF Social Relationship Score3 Months-32.8 units on a scale
MUS+BPTxChange From Baseline IIq-LF Social Relationship Score6 Months-33.7 units on a scale
MUS+BPTxChange From Baseline IIq-LF Social Relationship Score12 Months-34.1 units on a scale
Other Pre-specified

Change From Baseline IIq-LF Total Score

The Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Total score ranges from 0 to 400 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline IIq-LF Total Score3 Months-140.4 units on a scale
MUS OnlyChange From Baseline IIq-LF Total Score6 Months-139.8 units on a scale
MUS OnlyChange From Baseline IIq-LF Total Score12 Months-146 units on a scale
MUS+BPTxChange From Baseline IIq-LF Total Score3 Months-153.3 units on a scale
MUS+BPTxChange From Baseline IIq-LF Total Score6 Months-158.2 units on a scale
MUS+BPTxChange From Baseline IIq-LF Total Score12 Months-160.1 units on a scale
Other Pre-specified

Change From Baseline IIq-LF Travel Score

The Incontinence Impact Questionnaire-Long Form is a standardized a measure of health-related quality of life. The IIq-LF Travel score ranges from 0 to 100 with higher scores indicating worse impact. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline IIq-LF Travel Score3 Months-33.9 units on a scale
MUS OnlyChange From Baseline IIq-LF Travel Score6 Months-33.4 units on a scale
MUS OnlyChange From Baseline IIq-LF Travel Score12 Months-35.4 units on a scale
MUS+BPTxChange From Baseline IIq-LF Travel Score3 Months-38.9 units on a scale
MUS+BPTxChange From Baseline IIq-LF Travel Score6 Months-40.9 units on a scale
MUS+BPTxChange From Baseline IIq-LF Travel Score12 Months-40.8 units on a scale
Other Pre-specified

Change From Baseline Number of Daytime Voids

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of daytime voids at 2 weeks, 2, 6, or 12 months and the number of daytime voids at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Daytime Voids0.5 Months-0.6 number of voids
MUS OnlyChange From Baseline Number of Daytime Voids2 Months-0.7 number of voids
MUS OnlyChange From Baseline Number of Daytime Voids6 Months-1.1 number of voids
MUS OnlyChange From Baseline Number of Daytime Voids12 Months-1.2 number of voids
MUS+BPTxChange From Baseline Number of Daytime Voids12 Months-2 number of voids
MUS+BPTxChange From Baseline Number of Daytime Voids0.5 Months-0.8 number of voids
MUS+BPTxChange From Baseline Number of Daytime Voids6 Months-2.2 number of voids
MUS+BPTxChange From Baseline Number of Daytime Voids2 Months-1.6 number of voids
Other Pre-specified

Change From Baseline Number of Nighttime Voids

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of nighttime voids at 2 weeks, 2, 6, or 12 months and the number of nighttime voids at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Nighttime Voids0.5 Months-0.2 number of voids
MUS OnlyChange From Baseline Number of Nighttime Voids2 Months-0.4 number of voids
MUS OnlyChange From Baseline Number of Nighttime Voids6 Months-0.5 number of voids
MUS OnlyChange From Baseline Number of Nighttime Voids12 Months-0.4 number of voids
MUS+BPTxChange From Baseline Number of Nighttime Voids12 Months-0.8 number of voids
MUS+BPTxChange From Baseline Number of Nighttime Voids0.5 Months-0.4 number of voids
MUS+BPTxChange From Baseline Number of Nighttime Voids6 Months-0.8 number of voids
MUS+BPTxChange From Baseline Number of Nighttime Voids2 Months-0.7 number of voids
Other Pre-specified

Change From Baseline Number of Pads Per Day

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in total number of pads per day at 2 weeks, 2, 6, or 12 months and the total number of pads per day at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Pads Per Day0.5 Months-1.6 number of pads
MUS OnlyChange From Baseline Number of Pads Per Day2 Months-2.2 number of pads
MUS OnlyChange From Baseline Number of Pads Per Day6 Months-2.2 number of pads
MUS OnlyChange From Baseline Number of Pads Per Day12 Months-2.3 number of pads
MUS+BPTxChange From Baseline Number of Pads Per Day12 Months-2.7 number of pads
MUS+BPTxChange From Baseline Number of Pads Per Day0.5 Months-1.9 number of pads
MUS+BPTxChange From Baseline Number of Pads Per Day6 Months-2.8 number of pads
MUS+BPTxChange From Baseline Number of Pads Per Day2 Months-2.7 number of pads
Other Pre-specified

Change From Baseline Number of Stress Incontinence Episodes

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of stress incontinence episodes at 2 weeks, 2, 6, or 12 months and the number of stress incontinence episodes at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Stress Incontinence Episodes0.5 Months-2.2 number of episodes
MUS OnlyChange From Baseline Number of Stress Incontinence Episodes2 Months-2.3 number of episodes
MUS OnlyChange From Baseline Number of Stress Incontinence Episodes6 Months-2.3 number of episodes
MUS OnlyChange From Baseline Number of Stress Incontinence Episodes12 Months-2.2 number of episodes
MUS+BPTxChange From Baseline Number of Stress Incontinence Episodes12 Months-2.2 number of episodes
MUS+BPTxChange From Baseline Number of Stress Incontinence Episodes0.5 Months-2.2 number of episodes
MUS+BPTxChange From Baseline Number of Stress Incontinence Episodes6 Months-2.3 number of episodes
MUS+BPTxChange From Baseline Number of Stress Incontinence Episodes2 Months-2.4 number of episodes
Other Pre-specified

Change From Baseline Number of Unknown Incontinence Episodes

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of unknown incontinence episodes at 2 weeks, 2, 6, or 12 months and the number of unknown incontinence episodes at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Unknown Incontinence Episodes0.5 Months-0.2 number of episodes
MUS OnlyChange From Baseline Number of Unknown Incontinence Episodes2 Months-0.3 number of episodes
MUS OnlyChange From Baseline Number of Unknown Incontinence Episodes6 Months-0.3 number of episodes
MUS OnlyChange From Baseline Number of Unknown Incontinence Episodes12 Months-0.3 number of episodes
MUS+BPTxChange From Baseline Number of Unknown Incontinence Episodes12 Months-0.4 number of episodes
MUS+BPTxChange From Baseline Number of Unknown Incontinence Episodes0.5 Months-0.4 number of episodes
MUS+BPTxChange From Baseline Number of Unknown Incontinence Episodes6 Months-0.4 number of episodes
MUS+BPTxChange From Baseline Number of Unknown Incontinence Episodes2 Months-0.4 number of episodes
Other Pre-specified

Change From Baseline Number of Urge Incontinence Episodes

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of urge incontinence episodes at 2 weeks, 2, 6, or 12 months and the number of urge incontinence episodes at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Urge Incontinence Episodes6 Months-2 number of episodes
MUS OnlyChange From Baseline Number of Urge Incontinence Episodes2 Months-2 number of episodes
MUS OnlyChange From Baseline Number of Urge Incontinence Episodes12 Months-1.9 number of episodes
MUS OnlyChange From Baseline Number of Urge Incontinence Episodes0.5 Months-1.8 number of episodes
MUS+BPTxChange From Baseline Number of Urge Incontinence Episodes12 Months-2.2 number of episodes
MUS+BPTxChange From Baseline Number of Urge Incontinence Episodes2 Months-2 number of episodes
MUS+BPTxChange From Baseline Number of Urge Incontinence Episodes6 Months-2 number of episodes
MUS+BPTxChange From Baseline Number of Urge Incontinence Episodes0.5 Months-1.7 number of episodes
Other Pre-specified

Change From Baseline Number of Urgency Voids Without Incontinence

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of urgency voids without incontinence at 2 weeks, 2, 6, or 12 months and the number of urgency voids without incontinence at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Urgency Voids Without Incontinence0.5 Months-1.1 number of voids
MUS OnlyChange From Baseline Number of Urgency Voids Without Incontinence2 Months-1.6 number of voids
MUS OnlyChange From Baseline Number of Urgency Voids Without Incontinence6 Months-3.5 number of voids
MUS OnlyChange From Baseline Number of Urgency Voids Without Incontinence12 Months-3.9 number of voids
MUS+BPTxChange From Baseline Number of Urgency Voids Without Incontinence12 Months-5.1 number of voids
MUS+BPTxChange From Baseline Number of Urgency Voids Without Incontinence0.5 Months-0.8 number of voids
MUS+BPTxChange From Baseline Number of Urgency Voids Without Incontinence6 Months-4.8 number of voids
MUS+BPTxChange From Baseline Number of Urgency Voids Without Incontinence2 Months-4.3 number of voids
Other Pre-specified

Change From Baseline Number of Wet Pads Per Day

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in number of wet pads per day at 2 weeks, 2, 6, or 12 months and the number of wet pads per day at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Number of Wet Pads Per Day0.5 Months-2 number of pads
MUS OnlyChange From Baseline Number of Wet Pads Per Day2 Months-2.4 number of pads
MUS OnlyChange From Baseline Number of Wet Pads Per Day6 Months-2.2 number of pads
MUS OnlyChange From Baseline Number of Wet Pads Per Day12 Months-2.2 number of pads
MUS+BPTxChange From Baseline Number of Wet Pads Per Day12 Months-2.7 number of pads
MUS+BPTxChange From Baseline Number of Wet Pads Per Day0.5 Months-2.2 number of pads
MUS+BPTxChange From Baseline Number of Wet Pads Per Day6 Months-2.7 number of pads
MUS+BPTxChange From Baseline Number of Wet Pads Per Day2 Months-2.7 number of pads
Other Pre-specified

Change From Baseline OABq-LF Concern Score

The Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Concern score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline OABq-LF Concern Score3 Months47.6 units on a scale
MUS OnlyChange From Baseline OABq-LF Concern Score6 Months47 units on a scale
MUS OnlyChange From Baseline OABq-LF Concern Score12 Months46.9 units on a scale
MUS+BPTxChange From Baseline OABq-LF Concern Score3 Months51.2 units on a scale
MUS+BPTxChange From Baseline OABq-LF Concern Score6 Months51.1 units on a scale
MUS+BPTxChange From Baseline OABq-LF Concern Score12 Months50.4 units on a scale
Other Pre-specified

Change From Baseline OABq-LF Coping Score

The Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Coping score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline OABq-LF Coping Score3 Months43.1 units on a scale
MUS OnlyChange From Baseline OABq-LF Coping Score6 Months43.3 units on a scale
MUS OnlyChange From Baseline OABq-LF Coping Score12 Months43.9 units on a scale
MUS+BPTxChange From Baseline OABq-LF Coping Score3 Months48.2 units on a scale
MUS+BPTxChange From Baseline OABq-LF Coping Score6 Months48.4 units on a scale
MUS+BPTxChange From Baseline OABq-LF Coping Score12 Months47.9 units on a scale
Other Pre-specified

Change From Baseline OABq-LF HRQL Total Score

The Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF HRQL score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline OABq-LF HRQL Total Score3 Months38.6 units on a scale
MUS OnlyChange From Baseline OABq-LF HRQL Total Score6 Months38 units on a scale
MUS OnlyChange From Baseline OABq-LF HRQL Total Score12 Months38.6 units on a scale
MUS+BPTxChange From Baseline OABq-LF HRQL Total Score3 Months41.4 units on a scale
MUS+BPTxChange From Baseline OABq-LF HRQL Total Score6 Months41.4 units on a scale
MUS+BPTxChange From Baseline OABq-LF HRQL Total Score12 Months41.1 units on a scale
Other Pre-specified

Change From Baseline OABq-LF Sleep Score

The Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Sleep score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline OABq-LF Sleep Score3 Months31.7 units on a scale
MUS OnlyChange From Baseline OABq-LF Sleep Score6 Months31.3 units on a scale
MUS OnlyChange From Baseline OABq-LF Sleep Score12 Months31.8 units on a scale
MUS+BPTxChange From Baseline OABq-LF Sleep Score3 Months31.6 units on a scale
MUS+BPTxChange From Baseline OABq-LF Sleep Score6 Months31.9 units on a scale
MUS+BPTxChange From Baseline OABq-LF Sleep Score12 Months32.7 units on a scale
Other Pre-specified

Change From Baseline OABq-LF Social Score

The Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Social score ranges from 0 to 100 with higher score indicating better quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline OABq-LF Social Score3 Months25.6 units on a scale
MUS OnlyChange From Baseline OABq-LF Social Score6 Months23.5 units on a scale
MUS OnlyChange From Baseline OABq-LF Social Score12 Months24.1 units on a scale
MUS+BPTxChange From Baseline OABq-LF Social Score3 Months26.5 units on a scale
MUS+BPTxChange From Baseline OABq-LF Social Score6 Months26.1 units on a scale
MUS+BPTxChange From Baseline OABq-LF Social Score12 Months25.8 units on a scale
Other Pre-specified

Change From Baseline OABq-LF Symptom Severity Score

The Overactive Bladder Questionnaire-Long Form is a standardized a measure of overactive bladder symptoms and health-related quality of life. The OABq-LF Symptom Severity score ranges from 0 to 100 with higher score indicating worse quality of life. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline OABq-LF Symptom Severity Score3 Months-45.3 units on a scale
MUS OnlyChange From Baseline OABq-LF Symptom Severity Score6 Months-45.4 units on a scale
MUS OnlyChange From Baseline OABq-LF Symptom Severity Score12 Months-45.7 units on a scale
MUS+BPTxChange From Baseline OABq-LF Symptom Severity Score3 Months-46.9 units on a scale
MUS+BPTxChange From Baseline OABq-LF Symptom Severity Score6 Months-47.2 units on a scale
MUS+BPTxChange From Baseline OABq-LF Symptom Severity Score12 Months-48.5 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSACI Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Sexually Active-Condition Impact subscale (NSA-CI) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR NSACI Score3 Months-25.2 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSACI Score6 Months-32.1 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSACI Score12 Months-28.8 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSACI Score3 Months-27.9 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSACI Score6 Months-23.8 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSACI Score12 Months-33 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSACS Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Sexually Active-Condition Specific subscale (NSA-CS) ranges from 0 to 100 with worse scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR NSACS Score3 Months-16.8 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSACS Score6 Months-18.9 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSACS Score12 Months-13.5 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSACS Score3 Months-20.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSACS Score6 Months-16.4 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSACS Score12 Months-9.9 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSAGQR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Sexually Active-Global Quality Rating subscale (NSA-GQR) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR NSAGQR Score3 Months-10 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSAGQR Score6 Months-9.8 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSAGQR Score12 Months-9.1 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSAGQR Score3 Months-14.8 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSAGQR Score6 Months-15.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSAGQR Score12 Months-16.5 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSAPR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Not Partner Related subscale (NSA-PR) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR NSAPR Score3 Months7.1 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSAPR Score6 Months5.5 units on a scale
MUS OnlyChange From Baseline PISQ-IR NSAPR Score12 Months3.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSAPR Score3 Months-8.8 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSAPR Score6 Months2.5 units on a scale
MUS+BPTxChange From Baseline PISQ-IR NSAPR Score12 Months2.3 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SAAO Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Arousal, Orgasm subscale (SA-AO) ranges from 0 to 100 with higher scores indicating worse function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR SAAO Score3 Months6.8 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAAO Score6 Months6.5 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAAO Score12 Months9.2 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAAO Score3 Months10.8 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAAO Score6 Months12.1 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAAO Score12 Months9.6 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SACI Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Condition Impact subscale (SA-CI) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR SACI Score3 Months28.4 units on a scale
MUS OnlyChange From Baseline PISQ-IR SACI Score6 Months28.9 units on a scale
MUS OnlyChange From Baseline PISQ-IR SACI Score12 Months31.7 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SACI Score3 Months33.6 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SACI Score6 Months35.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SACI Score12 Months35.5 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SACS Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Condition Specific subscale (SA-CS) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR SACS Score3 Months21.1 units on a scale
MUS OnlyChange From Baseline PISQ-IR SACS Score6 Months20 units on a scale
MUS OnlyChange From Baseline PISQ-IR SACS Score12 Months24.2 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SACS Score3 Months28.2 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SACS Score6 Months28.9 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SACS Score12 Months26.3 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SAD Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Desire subscale (SA-D) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR SAD Score3 Months3.8 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAD Score6 Months0.4 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAD Score12 Months2.7 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAD Score3 Months7.1 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAD Score6 Months5.4 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAD Score12 Months2.5 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SAGQR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Global Quality Rating subscale (SA-GQR) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR SAGQR Score3 Months13.5 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAGQR Score6 Months12.1 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAGQR Score12 Months19 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAGQR Score3 Months18.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAGQR Score6 Months19 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAGQR Score12 Months13.5 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SAPR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is a questionnaire measuring the impact of incontinence symptoms on sexual function and satisfaction. Using the Rockwood scoring, the PISQ-IR Sexually Active-Partner Related subscale (SA-PR) ranges from 0 to 100 with higher scores indicating better function/satisfaction. The change from baseline outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline PISQ-IR SAPR Score3 Months5.2 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAPR Score6 Months4.9 units on a scale
MUS OnlyChange From Baseline PISQ-IR SAPR Score12 Months2.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAPR Score3 Months7 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAPR Score6 Months6.3 units on a scale
MUS+BPTxChange From Baseline PISQ-IR SAPR Score12 Months4.6 units on a scale
Other Pre-specified

Change From Baseline Total Number of Incontinence Episodes

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome variable is computed as the difference in total number of incontinence episodes at 2 weeks, 2, 6, or 12 months and the total number of incontinence episodes at baseline.

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyChange From Baseline Total Number of Incontinence Episodes0.5 Months-4.2 number of episodes
MUS OnlyChange From Baseline Total Number of Incontinence Episodes2 Months-4.7 number of episodes
MUS OnlyChange From Baseline Total Number of Incontinence Episodes6 Months-4.6 number of episodes
MUS OnlyChange From Baseline Total Number of Incontinence Episodes12 Months-4.4 number of episodes
MUS+BPTxChange From Baseline Total Number of Incontinence Episodes12 Months-4.8 number of episodes
MUS+BPTxChange From Baseline Total Number of Incontinence Episodes0.5 Months-4.3 number of episodes
MUS+BPTxChange From Baseline Total Number of Incontinence Episodes6 Months-4.7 number of episodes
MUS+BPTxChange From Baseline Total Number of Incontinence Episodes2 Months-4.8 number of episodes
Other Pre-specified

Number of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome is calculated as Yes=at least 50% reduction in the number of voids between 2 weeks, 2, 6, and 12 months and baseline, No=Otherwise

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)0.5 MonthsYes1 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)0.5 MonthsNo198 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)2 MonthsYes2 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)2 MonthsNo189 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)6 MonthsYes6 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)6 MonthsNo152 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)12 MonthsYes8 Participants
MUS OnlyNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)12 MonthsNo153 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)12 MonthsNo150 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)0.5 MonthsYes8 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)6 MonthsYes15 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)0.5 MonthsNo190 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)12 MonthsYes15 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)2 MonthsYes13 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)6 MonthsNo155 Participants
MUS+BPTxNumber of Participants With 50% Reduction in Voids Relative to Baseline (Improved Voiding Frequency)2 MonthsNo177 Participants
Other Pre-specified

Number of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, for participants with \>8 voids at baseline, the outcome is calculated as Yes=no more than 8 voids noted at the time point, No=Otherwise

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)0.5 MonthsYes48 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)0.5 MonthsNo82 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)2 MonthsYes49 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)2 MonthsNo76 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)6 MonthsYes46 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)6 MonthsNo56 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)12 MonthsYes48 Participants
MUS OnlyNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)12 MonthsNo57 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)12 MonthsNo29 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)0.5 MonthsYes59 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)6 MonthsYes79 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)0.5 MonthsNo68 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)12 MonthsYes80 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)2 MonthsYes81 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)6 MonthsNo33 Participants
MUS+BPTxNumber of Participants With <8 Voids After Baseline (Normalization of Voiding Frequency)2 MonthsNo43 Participants
Other Pre-specified

Number of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)

Based on data collected from participant-completed diaries at baseline, 2 weeks, and 2, 6, and 12 months, the outcome is calculated as Yes=greater than baseline number of voids at the time point or with greater than 8 voids at the time point, No=Otherwise

Time frame: 2 weeks and 2, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)2 MonthsNo80 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)0.5 MonthsYes124 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)0.5 MonthsNo75 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)2 MonthsYes111 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)6 MonthsYes81 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)6 MonthsNo77 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)12 MonthsYes79 Participants
MUS OnlyNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)12 MonthsNo82 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)12 MonthsNo122 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)6 MonthsYes43 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)0.5 MonthsYes104 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)12 MonthsYes43 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)0.5 MonthsNo94 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)6 MonthsNo127 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)2 MonthsYes68 Participants
MUS+BPTxNumber of Participants With Greater Number of Voids Relative to Baseline or >8 Voids (Worsening Voiding Frequency)2 MonthsNo122 Participants
Other Pre-specified

OAB-SATq Convenience Score

The Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Convenience score ranges from 0 to 100 with higher scores indicating greater convenience.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyOAB-SATq Convenience Score3 Months18.8 units on a scale
MUS OnlyOAB-SATq Convenience Score6 Months19.1 units on a scale
MUS OnlyOAB-SATq Convenience Score12 Months19.7 units on a scale
MUS+BPTxOAB-SATq Convenience Score3 Months25.8 units on a scale
MUS+BPTxOAB-SATq Convenience Score6 Months26.2 units on a scale
MUS+BPTxOAB-SATq Convenience Score12 Months21.3 units on a scale
Other Pre-specified

OAB-SATq Endorsement Score

The Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Endorsement score ranges from 0 to 100 with higher scores indicating greater endorsement.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyOAB-SATq Endorsement Score3 Months10.6 units on a scale
MUS OnlyOAB-SATq Endorsement Score6 Months11.2 units on a scale
MUS OnlyOAB-SATq Endorsement Score12 Months10.7 units on a scale
MUS+BPTxOAB-SATq Endorsement Score3 Months8.8 units on a scale
MUS+BPTxOAB-SATq Endorsement Score6 Months6.6 units on a scale
MUS+BPTxOAB-SATq Endorsement Score12 Months8.9 units on a scale
Other Pre-specified

OAB-SATq Preference Score

The Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The preference score is a binary \[yes/no\] indicator as to whether a subject indicated slight or definite preference for the treatment among women that have had previous treatment for overactive bladder. The outcome is the percentage of participants that prefer the current treatment to previous treatments.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
MUS OnlyOAB-SATq Preference Score3 MonthsYes111 Participants
MUS OnlyOAB-SATq Preference Score3 MonthsNo12 Participants
MUS OnlyOAB-SATq Preference Score6 MonthsYes101 Participants
MUS OnlyOAB-SATq Preference Score6 MonthsNo3 Participants
MUS OnlyOAB-SATq Preference Score12 MonthsYes98 Participants
MUS OnlyOAB-SATq Preference Score12 MonthsNo11 Participants
MUS+BPTxOAB-SATq Preference Score12 MonthsYes107 Participants
MUS+BPTxOAB-SATq Preference Score3 MonthsYes109 Participants
MUS+BPTxOAB-SATq Preference Score6 MonthsNo5 Participants
MUS+BPTxOAB-SATq Preference Score3 MonthsNo9 Participants
MUS+BPTxOAB-SATq Preference Score12 MonthsNo9 Participants
MUS+BPTxOAB-SATq Preference Score6 MonthsYes112 Participants
Other Pre-specified

OAB-SATq Satisfaction Score

The Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Satisfaction score ranges from 0 to 100 with higher scores indicating higher satisfaction.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyOAB-SATq Satisfaction Score3 Months19.3 units on a scale
MUS OnlyOAB-SATq Satisfaction Score6 Months19.8 units on a scale
MUS OnlyOAB-SATq Satisfaction Score12 Months18.1 units on a scale
MUS+BPTxOAB-SATq Satisfaction Score3 Months18.2 units on a scale
MUS+BPTxOAB-SATq Satisfaction Score6 Months18.7 units on a scale
MUS+BPTxOAB-SATq Satisfaction Score12 Months17.3 units on a scale
Other Pre-specified

OAB-SATq Side Effect Score

The Overactive Bladder Satisfaction with Treatment Questionnaire is a standardized a measure of satisfaction with treatment for overactive bladder symptoms. The OAB-SATq Side Effect score ranges from 0 to 100 with higher scores indicating fewer side effects.

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupValue (MEAN)
MUS OnlyOAB-SATq Side Effect Score3 Months76 units on a scale
MUS OnlyOAB-SATq Side Effect Score6 Months79.7 units on a scale
MUS OnlyOAB-SATq Side Effect Score12 Months81 units on a scale
MUS+BPTxOAB-SATq Side Effect Score12 Months86.3 units on a scale
MUS+BPTxOAB-SATq Side Effect Score3 Months84.3 units on a scale
MUS+BPTxOAB-SATq Side Effect Score6 Months87.2 units on a scale
Other Pre-specified

PGI-I

The Patient Global Impression of Improvement (PGI-I) is a patient-reported measure of perceived improvement with treatment, as assessed on a scale of 1 (very much better) to 7 (very much worse). Included here are participants who had improvement as indicated by a rating of 1 (very much better), 2 (much better).

Time frame: 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
MUS OnlyPGI-I3 MonthsNo Improvement/Worsened18 Participants
MUS OnlyPGI-I6 MonthsNo Improvement/Worsened19 Participants
MUS OnlyPGI-I3 MonthsImproved179 Participants
MUS OnlyPGI-I6 MonthsImproved156 Participants
MUS OnlyPGI-I12 MonthsNo Improvement/Worsened27 Participants
MUS OnlyPGI-I12 MonthsImproved147 Participants
MUS+BPTxPGI-I12 MonthsNo Improvement/Worsened22 Participants
MUS+BPTxPGI-I3 MonthsImproved178 Participants
MUS+BPTxPGI-I3 MonthsNo Improvement/Worsened19 Participants
MUS+BPTxPGI-I6 MonthsImproved168 Participants
MUS+BPTxPGI-I6 MonthsNo Improvement/Worsened13 Participants
MUS+BPTxPGI-I12 MonthsImproved159 Participants
Other Pre-specified

PGI-S

The Patient Global Impression of Severity (PGI-S) is a patient-reported measure of perceived severity of condition, as assessed on a scale of 1 (Normal) to 4 (Severe). Included here are participants who reported Normal or Mild severity as indicated by a rating of 1 or 2.

Time frame: Baseline 3, 6, and 12 Months

Population: An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
MUS OnlyPGI-S0 MonthsNormal/Mild41 Participants
MUS OnlyPGI-S0 MonthsModerate/Severe188 Participants
MUS OnlyPGI-S3 MonthsNormal/Mild171 Participants
MUS OnlyPGI-S3 MonthsModerate/Severe26 Participants
MUS OnlyPGI-S6 MonthsNormal/Mild155 Participants
MUS OnlyPGI-S6 MonthsModerate/Severe21 Participants
MUS OnlyPGI-S12 MonthsNormal/Mild155 Participants
MUS OnlyPGI-S12 MonthsModerate/Severe19 Participants
MUS+BPTxPGI-S12 MonthsModerate/Severe16 Participants
MUS+BPTxPGI-S0 MonthsNormal/Mild48 Participants
MUS+BPTxPGI-S6 MonthsNormal/Mild166 Participants
MUS+BPTxPGI-S0 MonthsModerate/Severe187 Participants
MUS+BPTxPGI-S12 MonthsNormal/Mild164 Participants
MUS+BPTxPGI-S3 MonthsNormal/Mild174 Participants
MUS+BPTxPGI-S6 MonthsModerate/Severe16 Participants
MUS+BPTxPGI-S3 MonthsModerate/Severe24 Participants

Source: ClinicalTrials.gov · Data processed: Feb 22, 2026