Stress Urinary Incontinence
Conditions
Brief summary
Aim of the study is to compare effect of High Intensity Focused Ultrasound (HIFU) and platelet-rich fibrin in management of stress urinary incontinence. It is a randomized prospective study. After assigning to one of the two groups, patients will undergo relevant treatment. First group will undergo 3 cycles of intravaginal HIFU treatment in 6-weeks interval. Second group will undergo 3 injections of platelet-rich fibrin under urethra. Before the treatment and after 2, 6 and 12 months after treatment is finished patients will be asked to fill questionaries concerning quality of life ICIQ-UI SF, ICIQ-LUTS, PISQ12, FSFI. Before each treatment cycle patients will be examined and asked to fill daily micturition plan.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* stress urinary incontinence of low grade * separate episodes of urinary incontinence (associated with increase of abdominal pressure) * no cystocoele or cystocoele POPQ1 * positive cough test when filled bladder
Exclusion criteria
* POPQ 2 and more * patients after urogenital operations or radiation * neuromuscular, hematologic, autoimmune, uncontrolled psychiatric diseases * uncontrolled diabetes * pregnancy, lactation * patients undergoing conservative treatment for stress urinary incontinence * ASA or other anti-platelet drug intake less than 7 days before and 7 days after procedure * active carcinomas or status less than 5 years after treatment * sepsis * infection in treated region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of patient's comfort and satisfaction | 1 year | Improvement of patient's comfort and satisfaction measured in questionnaire ICIQ-UI SF (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form), scale 0-21 points, higher score meaning worse outcome. |
Countries
Poland