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Sling vs Botox for Mixed Incontinence

Treatment for Mixed Urinary Incontinence: Mid-urethral Sling vs. Botox A

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04171531
Acronym
MUSA
Enrollment
150
Registered
2019-11-21
Start date
2020-06-08
Completion date
2024-02-12
Last updated
2025-06-03

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, Botulinum toxin A (Botox A ®)

Brief summary

The primary aim is to compare the effectiveness of intradetrusor injection of 100 unit injection of Botulinum toxin A to mid-urethral sling for change in MUI symptoms 6 months following treatment.

Detailed description

Mixed urinary incontinence (MUI), defined as the presence of both stress urinary incontinence (SUI) and urgency urinary incontinence (UUI), is a challenging condition for which clinicians frequently use multiple sequential treatments that have undergone limited evaluation in rigorous clinical trials. The Mixed Urinary Incontinence: Mid-urethral Sling vs. Botox A (MUSA) trial will estimate the effect of Botulinum toxin A (Botox A ®) compared to mid-urethral sling for the treatment of MUI symptoms in 146 women. MUSA is a randomized 2-arm clinical trial. The purpose of MUSA is to: * compare treatment with either Botulinum toxin A (Botox A ®) or mid-urethral sling for women with MUI * characterize patient characteristics associated with treatment response The primary objective is to estimate the effect of intradetrusor injections Botulinum toxin A (Botox A ®) compared to mid-urethral sling for treatment of MUI in 146 women 6 months after treatment. The change in severity of MUI symptoms will be measured using the Urogenital Distress Inventory. Secondary outcomes include: • Urogenital Distress Inventory Stress and Irritative subscales Other outcomes include: * Urogenital Distress Inventory Obstructive subscale * Patient bladder diary metrics including numbers of daily incontinence episodes and voids and voiding frequency * Other patient reported outcomes/validated instruments and associated scales and subscales: EQ-5D, IIQ-LF, OABq-LF, OAB-SATq, PISQ-IR, PGI-I, PGI-S, PGSC, and SF-36 * Physical measures of effectiveness: Postvoid Residual Volume The study will continue with an additional 6 month observational period until 12 months post treatment. A supplemental study will characterize baseline putative proteins/protein pathways in women with MUI associated with change in UDI after treatment with MUS or onabotulinum toxin A. Those results are not reported with this record.

Interventions

Botulinum toxin A will be prepared by dissolving 100 units of botulinum toxin A into 10 ml of injectable saline. Indigo carmine or methylene blue 0.1 ml will be added to each syringe of botulinum toxin A. The treating physician will inject a total of 10 ml of the Botox A® into approximately 15 to 20 different detrusor muscle sites under direct visualization.

Mid-urethral Sling Procedure includes retropubic as well as transobturator full length slings. Mini-sling and single-incision sling will not be allowed due to potential risk for higher failure rate.

Sponsors

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

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

At 6 months, the effect of treatment with Botox A or mid-urethral sling will be evaluated within a classic RCT model. The analysis will determine the effect of treatment on the primary outcome, change in Urogenital Distress Inventory (UDI) score at 6 months.

Eligibility

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

Inclusion criteria

1. Reporting at least moderate bother from UUI item on UDI \* Do you experience urine leakage associated with a feeling of urgency? 2. Reporting at least moderate bother from SUI item on UDI \* Do you experience urine leakage related to physical activity, coughing, or sneezing? 3. Diagnosis of SUI defined by a positive cough stress test (CST) or UDE within the past 18 months 4. Presence of UUI on bladder diary with \> 4 Urgency IE/3-day diary 5. Urinary symptoms \>3 months 6. Persistent symptoms despite at least one or more conservative treatments (e.g. supervised behavioral therapy, physical therapy) as determined adequate by the physician. 7. Inadequate response to oral overactive bladder medications (including anti-cholinergic and/or beta-mimetic medication) unless patient is 1. intolerant of oral overactive bladder medications, or 2. oral overactive bladder medications are contraindicated as determined by the treating provider. 8. Urodynamics within past 18 months 9. Demonstrates ability (or have caregiver demonstrate ability) to perform clean intermittent self-catheterization.

Exclusion criteria

1. Anterior or apical compartment prolapse at or beyond the hymen (\>0 on POPQ), regardless if patient is symptomatic \* 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 \* Women undergoing only rectocele repair or other repair unrelated to anterior or apical compartment 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 6 months, or within 12 months post-partum 7. Post-void residual \>150 cc on 2 occasions within the past 6 months, 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 urinary incontinence 11. Spinal cord injury or advanced/severe neurologic conditions including Multiple Sclerosis, Parkinsons, Myasthenia Gravis, Charcot-Marie-Tooth 12. Women on overactive bladder medication/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 6 month follow-up 16. Diagnosis of and/or history of bladder pain or chronic pelvic pain 17. Women who had intravesical Botox injection within the past 12 months 18. Women who have undergone anterior or apical pelvic organ prolapse repair within the past 6 months

Design outcomes

Primary

MeasureTime frameDescription
UDI-LF Total Score Change From Baseline3, 6, 9, and 12 MonthsThe Urogenital Distress Inventory 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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Secondary

MeasureTime frameDescription
UDI-LF Stress Score Change From Baseline3, 6, 9, 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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
UDI-LF Irritative Score Change From Baseline3, 6, 9, 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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Other

MeasureTime frameDescription
Average Daily Frequency of Diurnal Voids Change From Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries, average daily frequency of diurnal voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids at baseline.
Average Daily Frequency of Nocturnal Voids Change From Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries, average daily frequency of nocturnal voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids at baseline.
Average Daily Frequency of All Voids Change From Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries, average daily frequency of all voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids at baseline.
Normalization of Voiding Frequency3, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline and 3, 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
Improvement of 50% or More in Voiding Frequency Post Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline and 3, 6, and 12 months, the outcome is calculated as Yes=at least 50% reduction in the number of voids between the timepoint and baseline, No=Otherwise
Worsening Voiding Frequency Post Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries at baseline and 3, 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 EQ-5D Visual Analog Score0.5 Months (2 Weeks) and 3, 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 EQ-5D Index Score0.5 Months (2 Weeks) and 3, 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 IIQ-LF Physical Activity Score3, 6, 9, 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, 9, 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/Relationships Score3, 6, 9, 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, 9, 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, 9, 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 OABq-LF Symptom Severity Score3, 6, 9, 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, 9, 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, 9, 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, 9, 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, 9, 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, 9, 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-LF Satisfaction Score3, 6, 9, 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-LF Side Effects Score3, 6, 9, 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-LF Endorsement Score3, 6, 9, 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-LF Convenience Score3, 6, 9, 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-SAT-q Preference Indicator3, 6, 9, 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.
PGI-I Score Binary Improvement Indicator3, 6, 9, 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-S Score Binary Condition Severity IndicatorBaseline and 3, 6, 9, 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.
PGSC Score Binary Improvement Indicator3, 6, 9, and 12 MonthsPatient GLobal Impression of Symptom Control(PGSC) is a patient-reported measure of perceived adequate symptom control, as assessed on a scale of 1 (disagree strongly) to 5 (agree strongly). Included here are participants who had adequate control as indicated by a rating of 5 (agree strongly) or 4 (agree).
Change From Baseline PISQ-IR NSA-PR Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Partner Related (NSA-PR) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR NSA-CS Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Condition Specific (NSA-CS) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR NSA-GQA Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Global Quality Rating (NSA-GQA) ranges from 1 to 4.5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR NSA-CI Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Condition Impact (NSA-CI) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA-AO Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Arousal Orgasm (SA-AO) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA-PR Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Partner Related (SA-PR) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA-CS Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Condition Specific (SA-CS) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA-GQR Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Global Quality Rating (SA-GQR) ranges from 1 to 4.75 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA-CI Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Condition Impact (SA-CI) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA-D Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Desire (SA-D) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
Change From Baseline PISQ-IR SA Average Score3, 6, 9, and 12 monthsThe Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Average (SA-AVG) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.
SF-36 Physical Functioning Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for physical function domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 Role Physical Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for physical role limitations domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 Bodily Pain Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for bodily pain domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 General Health Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for general health domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 Vitality Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for vitality domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 Social Functioning Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for social functioning domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 Emotional Role Limitations Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for emotional role limitation domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
UDI-LF Obstructive Score Change From Baseline3, 6, 9, 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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SF-36 Physical Composite Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and well-being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The physical composite score is a normalized t-score which combines the all 8 domains with a mean of 50 and standard deviation of 10 (higher scores indicate greater physical function). A t-score below 50 is a good all-around cutoff for detecting physical condition (per the Ware manual). The outcome is calculated as the difference in score at 2 weeks and 3, 6, or 12 months and the score at baseline.
SF-36 Mental Composite Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and well-being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The mental composite score is a normalized t-score which combines the all 8 domains with a mean of 50 and standard deviation of 10 (higher scores indicate greater mental health). A t-score below 52 is a well-documented cutoff for detecting depression (per the Ware manual). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Postvoid Residual VolumeBaseline, 3, 6, and 12 MonthsPostvoid Residual Volume
SF-36 Mental Health Score0.5 Months (2 Weeks) and 3, 6, 9, and 12 monthsSF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for social functioning domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
Average Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries, average daily frequency of combined mixed stress/urge and non-categorized incontinence epsiodes. The outcome variable is computed as the difference in number of episodes at 3, 6, and 12 months and the number of episodes at baseline.
Average Daily Frequency of All Incontinence Epsiodes Change From Baseline3, 6, and 12 MonthsBased on data collected from participant-completed diaries, average daily frequency of all incontinence epsiodes. The outcome variable is computed as the difference in number of episodes at 3, 6, and 12 months and the number of episodes at baseline.

Countries

United States

Participant flow

Participants by arm

ArmCount
Botox A
Up to 2 administrations of Botulinum Toxin A
71
Mid-Urethral Sling
Mid-Urethral Sling for treatment of urinary incont
66
Total137

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyConsent only through 6 months11
Overall StudyInsurance did not cover procedure01
Overall StudyLost to Follow-up45
Overall StudyPhysician Decision03
Overall StudyWithdrawal by Subject15

Baseline characteristics

CharacteristicMid-Urethral SlingTotalBotox A
Age, Continuous59 years
STANDARD_DEVIATION 11.7
59 years
STANDARD_DEVIATION 11.5
59.1 years
STANDARD_DEVIATION 11.4
Education
4-Year College Degree
11 Participants32 Participants21 Participants
Education
Associate College Degree
13 Participants30 Participants17 Participants
Education
Graduate Degree
8 Participants16 Participants8 Participants
Education
High School/GED
29 Participants48 Participants19 Participants
Education
Less than High School
2 Participants5 Participants3 Participants
Education
Unknown/Not Reported
3 Participants6 Participants3 Participants
Menopausal Status, Customized
Not sure
3 Participants11 Participants8 Participants
Menopausal Status, Customized
Post-menopausal
49 Participants105 Participants56 Participants
Menopausal Status, Customized
Pre-menopausal
14 Participants21 Participants7 Participants
Race/Ethnicity, Customized
Asian
0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Black/African American
10 Participants20 Participants10 Participants
Race/Ethnicity, Customized
Hispanic/Latina
6 Participants21 Participants15 Participants
Race/Ethnicity, Customized
Native Hawaiian/Other Pacific Islander
1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Not Hispanic/Not Latina
59 Participants115 Participants56 Participants
Race/Ethnicity, Customized
Other
1 Participants4 Participants3 Participants
Race/Ethnicity, Customized
Unknown/Not Reported
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
White
54 Participants109 Participants55 Participants
Sex/Gender, Customized
Female
66 Participants137 Participants71 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 710 / 69
other
Total, other adverse events
40 / 7141 / 69
serious
Total, serious adverse events
3 / 718 / 69

Outcome results

Primary

UDI-LF Total Score Change From Baseline

The Urogenital Distress Inventory 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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AUDI-LF Total Score Change From Baseline3.0-82.2 units on a scale
Botox AUDI-LF Total Score Change From Baseline6.0-74.9 units on a scale
Botox AUDI-LF Total Score Change From Baseline9.0-63.1 units on a scale
Botox AUDI-LF Total Score Change From Baseline12.0-67.7 units on a scale
Mid-Urethral SlingUDI-LF Total Score Change From Baseline12.0-89.2 units on a scale
Mid-Urethral SlingUDI-LF Total Score Change From Baseline3.0-84.6 units on a scale
Mid-Urethral SlingUDI-LF Total Score Change From Baseline9.0-85.6 units on a scale
Mid-Urethral SlingUDI-LF Total Score Change From Baseline6.0-89.1 units on a scale
Secondary

UDI-LF Irritative Score Change From Baseline

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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AUDI-LF Irritative Score Change From Baseline3.0-40.8 units on a scale
Botox AUDI-LF Irritative Score Change From Baseline6.0-35.8 units on a scale
Botox AUDI-LF Irritative Score Change From Baseline9.0-32.7 units on a scale
Botox AUDI-LF Irritative Score Change From Baseline12.0-31.6 units on a scale
Mid-Urethral SlingUDI-LF Irritative Score Change From Baseline12.0-33 units on a scale
Mid-Urethral SlingUDI-LF Irritative Score Change From Baseline3.0-28.1 units on a scale
Mid-Urethral SlingUDI-LF Irritative Score Change From Baseline9.0-30.8 units on a scale
Mid-Urethral SlingUDI-LF Irritative Score Change From Baseline6.0-30.6 units on a scale
Secondary

UDI-LF Stress Score Change From Baseline

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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AUDI-LF Stress Score Change From Baseline6.0-30.2 units on a scale
Botox AUDI-LF Stress Score Change From Baseline9.0-20.2 units on a scale
Botox AUDI-LF Stress Score Change From Baseline12.0-24.3 units on a scale
Botox AUDI-LF Stress Score Change From Baseline3.0-27.9 units on a scale
Mid-Urethral SlingUDI-LF Stress Score Change From Baseline3.0-46.4 units on a scale
Mid-Urethral SlingUDI-LF Stress Score Change From Baseline6.0-45.1 units on a scale
Mid-Urethral SlingUDI-LF Stress Score Change From Baseline12.0-44.4 units on a scale
Mid-Urethral SlingUDI-LF Stress Score Change From Baseline9.0-42.3 units on a scale
Other Pre-specified

Average Daily Frequency of All Incontinence Epsiodes Change From Baseline

Based on data collected from participant-completed diaries, average daily frequency of all incontinence epsiodes. The outcome variable is computed as the difference in number of episodes at 3, 6, and 12 months and the number of episodes 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)
Botox AAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline3.0-4 incontinence episodes/day
Botox AAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline6.0-3.2 incontinence episodes/day
Botox AAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline12.0-3.6 incontinence episodes/day
Mid-Urethral SlingAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline3.0-3.9 incontinence episodes/day
Mid-Urethral SlingAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline6.0-4.1 incontinence episodes/day
Mid-Urethral SlingAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline12.0-4.5 incontinence episodes/day
Other Pre-specified

Average Daily Frequency of All Voids Change From Baseline

Based on data collected from participant-completed diaries, average daily frequency of all voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids 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)
Botox AAverage Daily Frequency of All Voids Change From Baseline3.0-1.6 voids/day
Botox AAverage Daily Frequency of All Voids Change From Baseline6.0-1.1 voids/day
Botox AAverage Daily Frequency of All Voids Change From Baseline12.0-1.2 voids/day
Mid-Urethral SlingAverage Daily Frequency of All Voids Change From Baseline3.0-0.4 voids/day
Mid-Urethral SlingAverage Daily Frequency of All Voids Change From Baseline6.0-0.4 voids/day
Mid-Urethral SlingAverage Daily Frequency of All Voids Change From Baseline12.0-0.7 voids/day
Other Pre-specified

Average Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline

Based on data collected from participant-completed diaries, average daily frequency of combined mixed stress/urge and non-categorized incontinence epsiodes. The outcome variable is computed as the difference in number of episodes at 3, 6, and 12 months and the number of episodes 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)
Botox AAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline3.0-0.4 incontinence episodes/day
Botox AAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline6.0-0.2 incontinence episodes/day
Botox AAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline12.0-0.2 incontinence episodes/day
Mid-Urethral SlingAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline3.0-0.4 incontinence episodes/day
Mid-Urethral SlingAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline6.0-0.7 incontinence episodes/day
Mid-Urethral SlingAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline12.0-0.7 incontinence episodes/day
Other Pre-specified

Average Daily Frequency of Diurnal Voids Change From Baseline

Based on data collected from participant-completed diaries, average daily frequency of diurnal voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids 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)
Botox AAverage Daily Frequency of Diurnal Voids Change From Baseline3.0-1.2 diurnal voids/day
Botox AAverage Daily Frequency of Diurnal Voids Change From Baseline6.0-0.8 diurnal voids/day
Botox AAverage Daily Frequency of Diurnal Voids Change From Baseline12.0-0.8 diurnal voids/day
Mid-Urethral SlingAverage Daily Frequency of Diurnal Voids Change From Baseline3.00 diurnal voids/day
Mid-Urethral SlingAverage Daily Frequency of Diurnal Voids Change From Baseline6.0-0.2 diurnal voids/day
Mid-Urethral SlingAverage Daily Frequency of Diurnal Voids Change From Baseline12.0-0.3 diurnal voids/day
Other Pre-specified

Average Daily Frequency of Nocturnal Voids Change From Baseline

Based on data collected from participant-completed diaries, average daily frequency of nocturnal voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids 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)
Botox AAverage Daily Frequency of Nocturnal Voids Change From Baseline3.0-0.5 nocturnal voids/day
Botox AAverage Daily Frequency of Nocturnal Voids Change From Baseline6.0-0.3 nocturnal voids/day
Botox AAverage Daily Frequency of Nocturnal Voids Change From Baseline12.0-0.4 nocturnal voids/day
Mid-Urethral SlingAverage Daily Frequency of Nocturnal Voids Change From Baseline3.0-0.5 nocturnal voids/day
Mid-Urethral SlingAverage Daily Frequency of Nocturnal Voids Change From Baseline6.0-0.2 nocturnal voids/day
Mid-Urethral SlingAverage Daily Frequency of Nocturnal Voids Change From Baseline12.0-0.4 nocturnal voids/day
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: 0.5 Months (2 Weeks) and 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)
Botox AChange From Baseline EQ-5D Index Score3.00 units on a scale
Botox AChange From Baseline EQ-5D Index Score12.00 units on a scale
Botox AChange From Baseline EQ-5D Index Score6.00 units on a scale
Botox AChange From Baseline EQ-5D Index Score9.00 units on a scale
Botox AChange From Baseline EQ-5D Index Score0.50 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Index Score12.00 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Index Score0.50 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Index Score3.00 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Index Score9.00 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Index Score6.00 units on a scale
Other Pre-specified

Change From Baseline EQ-5D Visual Analog 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: 0.5 Months (2 Weeks) and 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)
Botox AChange From Baseline EQ-5D Visual Analog Score3.02.2 units on a scale
Botox AChange From Baseline EQ-5D Visual Analog Score9.01.4 units on a scale
Botox AChange From Baseline EQ-5D Visual Analog Score6.01.5 units on a scale
Botox AChange From Baseline EQ-5D Visual Analog Score12.01.6 units on a scale
Botox AChange From Baseline EQ-5D Visual Analog Score0.53.1 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Visual Analog Score12.07.4 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Visual Analog Score0.59.3 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Visual Analog Score3.06.7 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Visual Analog Score6.07.1 units on a scale
Mid-Urethral SlingChange From Baseline EQ-5D Visual Analog Score9.06.9 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, 9, 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)
Botox AChange From Baseline IIQ-LF Emotional Health Score9.0-12.5 units on a scale
Botox AChange From Baseline IIQ-LF Emotional Health Score6.0-20.2 units on a scale
Botox AChange From Baseline IIQ-LF Emotional Health Score12.0-17.5 units on a scale
Botox AChange From Baseline IIQ-LF Emotional Health Score3.0-17.7 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Emotional Health Score6.0-21.5 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Emotional Health Score3.0-19.5 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Emotional Health Score12.0-26.8 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Emotional Health Score9.0-19.7 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, 9, 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)
Botox AChange From Baseline IIQ-LF Physical Activity Score6.0-20.7 units on a scale
Botox AChange From Baseline IIQ-LF Physical Activity Score3.0-19.5 units on a scale
Botox AChange From Baseline IIQ-LF Physical Activity Score9.0-16.9 units on a scale
Botox AChange From Baseline IIQ-LF Physical Activity Score12.0-18.1 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Physical Activity Score12.0-25.3 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Physical Activity Score9.0-21.2 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Physical Activity Score3.0-20.3 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Physical Activity Score6.0-21.1 units on a scale
Other Pre-specified

Change From Baseline IIQ-LF Social/Relationships 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, 9, 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)
Botox AChange From Baseline IIQ-LF Social/Relationships Score3.0-15.7 units on a scale
Botox AChange From Baseline IIQ-LF Social/Relationships Score6.0-16.9 units on a scale
Botox AChange From Baseline IIQ-LF Social/Relationships Score9.0-10.3 units on a scale
Botox AChange From Baseline IIQ-LF Social/Relationships Score12.0-15.7 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Social/Relationships Score12.0-22.3 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Social/Relationships Score3.0-18.9 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Social/Relationships Score9.0-19.9 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Social/Relationships Score6.0-20.3 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, 9, 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)
Botox AChange From Baseline IIQ-LF Total Score3.0-72.9 units on a scale
Botox AChange From Baseline IIQ-LF Total Score6.0-81.1 units on a scale
Botox AChange From Baseline IIQ-LF Total Score9.0-54 units on a scale
Botox AChange From Baseline IIQ-LF Total Score12.0-71 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Total Score12.0-102.5 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Total Score3.0-80.8 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Total Score9.0-86.6 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Total Score6.0-88.4 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, 9, 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)
Botox AChange From Baseline IIQ-LF Travel Score12.0-19.7 units on a scale
Botox AChange From Baseline IIQ-LF Travel Score6.0-23.3 units on a scale
Botox AChange From Baseline IIQ-LF Travel Score9.0-14.3 units on a scale
Botox AChange From Baseline IIQ-LF Travel Score3.0-19.6 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Travel Score9.0-25.8 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Travel Score3.0-22.2 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Travel Score12.0-28.1 units on a scale
Mid-Urethral SlingChange From Baseline IIQ-LF Travel Score6.0-25.4 units on a scale
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, 9, 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)
Botox AChange From Baseline OABq-LF Concern Score6.026.1 units on a scale
Botox AChange From Baseline OABq-LF Concern Score9.016.7 units on a scale
Botox AChange From Baseline OABq-LF Concern Score3.032.3 units on a scale
Botox AChange From Baseline OABq-LF Concern Score12.024.5 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Concern Score12.035.6 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Concern Score6.031.2 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Concern Score3.029.6 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Concern Score9.028.2 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, 9, 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)
Botox AChange From Baseline OABq-LF Coping Score9.018.8 units on a scale
Botox AChange From Baseline OABq-LF Coping Score6.024.3 units on a scale
Botox AChange From Baseline OABq-LF Coping Score12.024.7 units on a scale
Botox AChange From Baseline OABq-LF Coping Score3.029.7 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Coping Score6.029.8 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Coping Score3.029.5 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Coping Score12.034.4 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Coping Score9.026.4 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, 9, 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)
Botox AChange From Baseline OABq-LF HRQL Total Score3.026.4 units on a scale
Botox AChange From Baseline OABq-LF HRQL Total Score6.021.8 units on a scale
Botox AChange From Baseline OABq-LF HRQL Total Score9.014.8 units on a scale
Botox AChange From Baseline OABq-LF HRQL Total Score12.020.3 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF HRQL Total Score12.029.1 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF HRQL Total Score3.025.9 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF HRQL Total Score9.023.9 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF HRQL Total Score6.025.9 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, 9, 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)
Botox AChange From Baseline OABq-LF Sleep Score9.015.6 units on a scale
Botox AChange From Baseline OABq-LF Sleep Score6.021.6 units on a scale
Botox AChange From Baseline OABq-LF Sleep Score12.016.8 units on a scale
Botox AChange From Baseline OABq-LF Sleep Score3.023.8 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Sleep Score12.019.8 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Sleep Score6.018.4 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Sleep Score9.019 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Sleep Score3.020.7 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, 9, 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)
Botox AChange From Baseline OABq-LF Social Score3.015.1 units on a scale
Botox AChange From Baseline OABq-LF Social Score6.011.8 units on a scale
Botox AChange From Baseline OABq-LF Social Score9.04.8 units on a scale
Botox AChange From Baseline OABq-LF Social Score12.011 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Social Score12.021 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Social Score3.020 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Social Score9.018.4 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Social Score6.019.6 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, 9, 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)
Botox AChange From Baseline OABq-LF Symptom Severity Score3.0-41 units on a scale
Botox AChange From Baseline OABq-LF Symptom Severity Score6.0-34.3 units on a scale
Botox AChange From Baseline OABq-LF Symptom Severity Score9.0-26.7 units on a scale
Botox AChange From Baseline OABq-LF Symptom Severity Score12.0-30.6 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Symptom Severity Score12.0-36.1 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Symptom Severity Score3.0-28.7 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Symptom Severity Score9.0-28.8 units on a scale
Mid-Urethral SlingChange From Baseline OABq-LF Symptom Severity Score6.0-32 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSA-CI Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Condition Impact (NSA-CI) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR NSA-CI Score3.0-0.3 units on a scale
Botox AChange From Baseline PISQ-IR NSA-CI Score6.0-0.3 units on a scale
Botox AChange From Baseline PISQ-IR NSA-CI Score9.0-0.3 units on a scale
Botox AChange From Baseline PISQ-IR NSA-CI Score12.0-0.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CI Score12.0-0.4 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CI Score3.0-0.4 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CI Score9.0-0.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CI Score6.0-0.3 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSA-CS Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Condition Specific (NSA-CS) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR NSA-CS Score3.0-0.2 units on a scale
Botox AChange From Baseline PISQ-IR NSA-CS Score6.0-0.2 units on a scale
Botox AChange From Baseline PISQ-IR NSA-CS Score9.0-0.2 units on a scale
Botox AChange From Baseline PISQ-IR NSA-CS Score12.00.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CS Score12.0-0.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CS Score3.0-0.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CS Score9.0-0.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-CS Score6.00 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSA-GQA Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Global Quality Rating (NSA-GQA) ranges from 1 to 4.5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR NSA-GQA Score3.0-0.1 units on a scale
Botox AChange From Baseline PISQ-IR NSA-GQA Score12.0-0.4 units on a scale
Botox AChange From Baseline PISQ-IR NSA-GQA Score6.0-0.3 units on a scale
Botox AChange From Baseline PISQ-IR NSA-GQA Score9.0-0.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-GQA Score12.0-0.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-GQA Score3.0-0.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-GQA Score9.0-0.4 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-GQA Score6.0-0.3 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR NSA-PR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Not Sexually Active-Partner Related (NSA-PR) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR NSA-PR Score3.00.3 units on a scale
Botox AChange From Baseline PISQ-IR NSA-PR Score9.00.1 units on a scale
Botox AChange From Baseline PISQ-IR NSA-PR Score12.00.3 units on a scale
Botox AChange From Baseline PISQ-IR NSA-PR Score6.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-PR Score12.00.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-PR Score3.00.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-PR Score6.00.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR NSA-PR Score9.00.1 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA-AO Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Arousal Orgasm (SA-AO) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA-AO Score3.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-AO Score6.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-AO Score9.0-0.1 units on a scale
Botox AChange From Baseline PISQ-IR SA-AO Score12.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-AO Score12.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-AO Score3.0-0.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-AO Score9.00.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-AO Score6.00.1 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA Average Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Average (SA-AVG) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA Average Score3.00.2 units on a scale
Botox AChange From Baseline PISQ-IR SA Average Score6.00.1 units on a scale
Botox AChange From Baseline PISQ-IR SA Average Score9.00 units on a scale
Botox AChange From Baseline PISQ-IR SA Average Score12.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA Average Score12.00.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA Average Score3.00.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA Average Score9.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA Average Score6.00.3 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA-CI Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Condition Impact (SA-CI) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA-CI Score12.00.3 units on a scale
Botox AChange From Baseline PISQ-IR SA-CI Score6.00.2 units on a scale
Botox AChange From Baseline PISQ-IR SA-CI Score9.00.3 units on a scale
Botox AChange From Baseline PISQ-IR SA-CI Score3.00.4 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CI Score12.00.9 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CI Score3.00.6 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CI Score9.00.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CI Score6.00.8 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA-CS Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Condition Specific (SA-CS) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA-CS Score3.00.5 units on a scale
Botox AChange From Baseline PISQ-IR SA-CS Score6.00.3 units on a scale
Botox AChange From Baseline PISQ-IR SA-CS Score9.00.3 units on a scale
Botox AChange From Baseline PISQ-IR SA-CS Score12.00.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CS Score12.00.4 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CS Score3.00.5 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CS Score9.00.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-CS Score6.00.6 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA-D Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Desire (SA-D) ranges from 1 to 5 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA-D Score3.00.1 units on a scale
Botox AChange From Baseline PISQ-IR SA-D Score6.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-D Score9.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-D Score12.0-0.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-D Score12.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-D Score3.00.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-D Score9.00.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-D Score6.0-0.1 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA-GQR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Global Quality Rating (SA-GQR) ranges from 1 to 4.75 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA-GQR Score6.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-GQR Score9.0-0.1 units on a scale
Botox AChange From Baseline PISQ-IR SA-GQR Score12.0-0.1 units on a scale
Botox AChange From Baseline PISQ-IR SA-GQR Score3.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-GQR Score3.00.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-GQR Score6.00.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-GQR Score12.0-0.2 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-GQR Score9.0-0.4 units on a scale
Other Pre-specified

Change From Baseline PISQ-IR SA-PR Score

The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised measures the impact of incontinence symptoms on sexual function and satisfaction. The Sexually Active-Partner Related (SA-PR) ranges from 1 to 4 with higher scores indicating greater sexual function. The outcome is calculated as the difference in score at 3, 6, 9, and 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AChange From Baseline PISQ-IR SA-PR Score3.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-PR Score6.00 units on a scale
Botox AChange From Baseline PISQ-IR SA-PR Score9.0-0.1 units on a scale
Botox AChange From Baseline PISQ-IR SA-PR Score12.0-0.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-PR Score12.0-0.1 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-PR Score3.00 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-PR Score9.0-0.3 units on a scale
Mid-Urethral SlingChange From Baseline PISQ-IR SA-PR Score6.00.1 units on a scale
Other Pre-specified

Improvement of 50% or More in Voiding Frequency Post Baseline

Based on data collected from participant-completed diaries at baseline and 3, 6, and 12 months, the outcome is calculated as Yes=at least 50% reduction in the number of voids between the timepoint and baseline, No=Otherwise

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)
Botox AImprovement of 50% or More in Voiding Frequency Post Baseline3.0No60 Participants
Botox AImprovement of 50% or More in Voiding Frequency Post Baseline3.0Yes1 Participants
Botox AImprovement of 50% or More in Voiding Frequency Post Baseline6.0No53 Participants
Botox AImprovement of 50% or More in Voiding Frequency Post Baseline6.0Yes0 Participants
Botox AImprovement of 50% or More in Voiding Frequency Post Baseline12.0No50 Participants
Botox AImprovement of 50% or More in Voiding Frequency Post Baseline12.0Yes3 Participants
Mid-Urethral SlingImprovement of 50% or More in Voiding Frequency Post Baseline12.0No54 Participants
Mid-Urethral SlingImprovement of 50% or More in Voiding Frequency Post Baseline3.0No61 Participants
Mid-Urethral SlingImprovement of 50% or More in Voiding Frequency Post Baseline6.0Yes1 Participants
Mid-Urethral SlingImprovement of 50% or More in Voiding Frequency Post Baseline3.0Yes0 Participants
Mid-Urethral SlingImprovement of 50% or More in Voiding Frequency Post Baseline12.0Yes2 Participants
Mid-Urethral SlingImprovement of 50% or More in Voiding Frequency Post Baseline6.0No59 Participants
Other Pre-specified

Normalization of Voiding Frequency

Based on data collected from participant-completed diaries at baseline and 3, 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: 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)
Botox ANormalization of Voiding Frequency3.0No17 Participants
Botox ANormalization of Voiding Frequency3.0Yes23 Participants
Botox ANormalization of Voiding Frequency6.0No17 Participants
Botox ANormalization of Voiding Frequency6.0Yes18 Participants
Botox ANormalization of Voiding Frequency12.0No13 Participants
Botox ANormalization of Voiding Frequency12.0Yes24 Participants
Mid-Urethral SlingNormalization of Voiding Frequency12.0No21 Participants
Mid-Urethral SlingNormalization of Voiding Frequency3.0No24 Participants
Mid-Urethral SlingNormalization of Voiding Frequency6.0Yes10 Participants
Mid-Urethral SlingNormalization of Voiding Frequency3.0Yes13 Participants
Mid-Urethral SlingNormalization of Voiding Frequency12.0Yes12 Participants
Mid-Urethral SlingNormalization of Voiding Frequency6.0No25 Participants
Other Pre-specified

OAB-SATq-LF 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, 9, 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)
Botox AOAB-SATq-LF Convenience Score3.064.2 units on a scale
Botox AOAB-SATq-LF Convenience Score6.066.5 units on a scale
Botox AOAB-SATq-LF Convenience Score9.067.6 units on a scale
Botox AOAB-SATq-LF Convenience Score12.065.6 units on a scale
Mid-Urethral SlingOAB-SATq-LF Convenience Score12.066.3 units on a scale
Mid-Urethral SlingOAB-SATq-LF Convenience Score3.064.1 units on a scale
Mid-Urethral SlingOAB-SATq-LF Convenience Score9.064.7 units on a scale
Mid-Urethral SlingOAB-SATq-LF Convenience Score6.066.8 units on a scale
Other Pre-specified

OAB-SATq-LF 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, 9, 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)
Botox AOAB-SATq-LF Endorsement Score3.074.3 units on a scale
Botox AOAB-SATq-LF Endorsement Score6.072 units on a scale
Botox AOAB-SATq-LF Endorsement Score9.077.7 units on a scale
Botox AOAB-SATq-LF Endorsement Score12.071.7 units on a scale
Mid-Urethral SlingOAB-SATq-LF Endorsement Score12.068.2 units on a scale
Mid-Urethral SlingOAB-SATq-LF Endorsement Score3.067.9 units on a scale
Mid-Urethral SlingOAB-SATq-LF Endorsement Score9.073.6 units on a scale
Mid-Urethral SlingOAB-SATq-LF Endorsement Score6.068.3 units on a scale
Other Pre-specified

OAB-SATq-LF 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, 9, 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)
Botox AOAB-SATq-LF Satisfaction Score3.065.7 units on a scale
Botox AOAB-SATq-LF Satisfaction Score6.064.5 units on a scale
Botox AOAB-SATq-LF Satisfaction Score9.064.4 units on a scale
Botox AOAB-SATq-LF Satisfaction Score12.060.4 units on a scale
Mid-Urethral SlingOAB-SATq-LF Satisfaction Score12.056.3 units on a scale
Mid-Urethral SlingOAB-SATq-LF Satisfaction Score3.060.1 units on a scale
Mid-Urethral SlingOAB-SATq-LF Satisfaction Score9.057.5 units on a scale
Mid-Urethral SlingOAB-SATq-LF Satisfaction Score6.060.3 units on a scale
Other Pre-specified

OAB-SATq-LF Side Effects 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, 9, 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)
Botox AOAB-SATq-LF Side Effects Score3.091.9 units on a scale
Botox AOAB-SATq-LF Side Effects Score6.089 units on a scale
Botox AOAB-SATq-LF Side Effects Score9.090.2 units on a scale
Botox AOAB-SATq-LF Side Effects Score12.091.8 units on a scale
Mid-Urethral SlingOAB-SATq-LF Side Effects Score12.088.5 units on a scale
Mid-Urethral SlingOAB-SATq-LF Side Effects Score3.093.5 units on a scale
Mid-Urethral SlingOAB-SATq-LF Side Effects Score9.086.3 units on a scale
Mid-Urethral SlingOAB-SATq-LF Side Effects Score6.087.4 units on a scale
Other Pre-specified

OAB-SAT-q Preference Indicator

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, 9, 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)
Botox AOAB-SAT-q Preference Indicator3.0Yes47 Participants
Botox AOAB-SAT-q Preference Indicator12.0Unknown15 Participants
Botox AOAB-SAT-q Preference Indicator6.0No6 Participants
Botox AOAB-SAT-q Preference Indicator12.0No10 Participants
Botox AOAB-SAT-q Preference Indicator3.0No5 Participants
Botox AOAB-SAT-q Preference Indicator12.0Yes36 Participants
Botox AOAB-SAT-q Preference Indicator9.0No5 Participants
Botox AOAB-SAT-q Preference Indicator6.0Unknown17 Participants
Botox AOAB-SAT-q Preference Indicator6.0Yes41 Participants
Botox AOAB-SAT-q Preference Indicator3.0Unknown16 Participants
Botox AOAB-SAT-q Preference Indicator9.0Unknown17 Participants
Botox AOAB-SAT-q Preference Indicator9.0Yes33 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator9.0Unknown15 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator3.0No5 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator3.0Yes35 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator6.0Unknown21 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator6.0No8 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator9.0No5 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator9.0Yes36 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator12.0Unknown19 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator12.0No7 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator12.0Yes34 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator6.0Yes36 Participants
Mid-Urethral SlingOAB-SAT-q Preference Indicator3.0Unknown24 Participants
Other Pre-specified

PGI-I Score Binary Improvement Indicator

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, 9, 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)
Botox APGI-I Score Binary Improvement Indicator3.0Yes40 Participants
Botox APGI-I Score Binary Improvement Indicator9.0Yes34 Participants
Botox APGI-I Score Binary Improvement Indicator6.0Yes39 Participants
Botox APGI-I Score Binary Improvement Indicator12.0No35 Participants
Botox APGI-I Score Binary Improvement Indicator6.0No25 Participants
Botox APGI-I Score Binary Improvement Indicator12.0Yes26 Participants
Botox APGI-I Score Binary Improvement Indicator9.0No22 Participants
Botox APGI-I Score Binary Improvement Indicator3.0No28 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator3.0Yes34 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator3.0No30 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator6.0No33 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator6.0Yes32 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator9.0No25 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator9.0Yes31 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator12.0No31 Participants
Mid-Urethral SlingPGI-I Score Binary Improvement Indicator12.0Yes29 Participants
Other Pre-specified

PGI-S Score Binary Condition Severity Indicator

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 and 3, 6, 9, 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)
Botox APGI-S Score Binary Condition Severity IndicatorBaselineYes13 Participants
Botox APGI-S Score Binary Condition Severity Indicator9.0No27 Participants
Botox APGI-S Score Binary Condition Severity Indicator3.0Yes39 Participants
Botox APGI-S Score Binary Condition Severity Indicator9.0Yes29 Participants
Botox APGI-S Score Binary Condition Severity Indicator3.0No29 Participants
Botox APGI-S Score Binary Condition Severity Indicator12.0No28 Participants
Botox APGI-S Score Binary Condition Severity Indicator6.0No29 Participants
Botox APGI-S Score Binary Condition Severity Indicator12.0Yes33 Participants
Botox APGI-S Score Binary Condition Severity Indicator6.0Yes35 Participants
Botox APGI-S Score Binary Condition Severity IndicatorBaselineNo57 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator6.0No29 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity IndicatorBaselineNo53 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity IndicatorBaselineYes10 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator3.0No30 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator3.0Yes34 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator6.0Yes36 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator9.0No24 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator9.0Yes32 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator12.0No24 Participants
Mid-Urethral SlingPGI-S Score Binary Condition Severity Indicator12.0Yes36 Participants
Other Pre-specified

PGSC Score Binary Improvement Indicator

Patient GLobal Impression of Symptom Control(PGSC) is a patient-reported measure of perceived adequate symptom control, as assessed on a scale of 1 (disagree strongly) to 5 (agree strongly). Included here are participants who had adequate control as indicated by a rating of 5 (agree strongly) or 4 (agree).

Time frame: 3, 6, 9, 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)
Botox APGSC Score Binary Improvement Indicator3.0No32 Participants
Botox APGSC Score Binary Improvement Indicator3.0Yes36 Participants
Botox APGSC Score Binary Improvement Indicator6.0No30 Participants
Botox APGSC Score Binary Improvement Indicator6.0Yes34 Participants
Botox APGSC Score Binary Improvement Indicator9.0No28 Participants
Botox APGSC Score Binary Improvement Indicator9.0Yes28 Participants
Botox APGSC Score Binary Improvement Indicator12.0No33 Participants
Botox APGSC Score Binary Improvement Indicator12.0Yes29 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator12.0Yes36 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator3.0No28 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator9.0No27 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator3.0Yes36 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator12.0No24 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator6.0No33 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator9.0Yes29 Participants
Mid-Urethral SlingPGSC Score Binary Improvement Indicator6.0Yes32 Participants
Other Pre-specified

Postvoid Residual Volume

Postvoid Residual Volume

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.

ArmMeasureGroupValue (MEAN)
Botox APostvoid Residual Volume0.549.4 mL
Botox APostvoid Residual Volume6.031.7 mL
Botox APostvoid Residual Volume3.039.4 mL
Botox APostvoid Residual VolumeBaseline20.4 mL
Mid-Urethral SlingPostvoid Residual Volume3.027.2 mL
Mid-Urethral SlingPostvoid Residual Volume0.526.5 mL
Mid-Urethral SlingPostvoid Residual VolumeBaseline22.7 mL
Mid-Urethral SlingPostvoid Residual Volume6.037.1 mL
Other Pre-specified

SF-36 Bodily Pain Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for bodily pain domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Bodily Pain Score3.05.1 units on a scale
Botox ASF-36 Bodily Pain Score9.0-1.6 units on a scale
Botox ASF-36 Bodily Pain Score0.52.6 units on a scale
Botox ASF-36 Bodily Pain Score12.0-0.8 units on a scale
Botox ASF-36 Bodily Pain Score6.0-0.4 units on a scale
Mid-Urethral SlingSF-36 Bodily Pain Score12.06.4 units on a scale
Mid-Urethral SlingSF-36 Bodily Pain Score3.00.6 units on a scale
Mid-Urethral SlingSF-36 Bodily Pain Score6.00.8 units on a scale
Mid-Urethral SlingSF-36 Bodily Pain Score9.04.2 units on a scale
Mid-Urethral SlingSF-36 Bodily Pain Score0.52.4 units on a scale
Other Pre-specified

SF-36 Emotional Role Limitations Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for emotional role limitation domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Emotional Role Limitations Score3.019.9 units on a scale
Botox ASF-36 Emotional Role Limitations Score9.013 units on a scale
Botox ASF-36 Emotional Role Limitations Score6.012.7 units on a scale
Botox ASF-36 Emotional Role Limitations Score12.09.8 units on a scale
Botox ASF-36 Emotional Role Limitations Score0.516.4 units on a scale
Mid-Urethral SlingSF-36 Emotional Role Limitations Score12.013.3 units on a scale
Mid-Urethral SlingSF-36 Emotional Role Limitations Score0.512.2 units on a scale
Mid-Urethral SlingSF-36 Emotional Role Limitations Score3.014.6 units on a scale
Mid-Urethral SlingSF-36 Emotional Role Limitations Score6.012.5 units on a scale
Mid-Urethral SlingSF-36 Emotional Role Limitations Score9.07.4 units on a scale
Other Pre-specified

SF-36 General Health Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for general health domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 General Health Score3.02.4 units on a scale
Botox ASF-36 General Health Score9.0-1.6 units on a scale
Botox ASF-36 General Health Score6.02.6 units on a scale
Botox ASF-36 General Health Score12.0-1.1 units on a scale
Botox ASF-36 General Health Score0.55.2 units on a scale
Mid-Urethral SlingSF-36 General Health Score12.0-0.3 units on a scale
Mid-Urethral SlingSF-36 General Health Score0.52.5 units on a scale
Mid-Urethral SlingSF-36 General Health Score3.0-1.7 units on a scale
Mid-Urethral SlingSF-36 General Health Score6.0-0.6 units on a scale
Mid-Urethral SlingSF-36 General Health Score9.0-2.2 units on a scale
Other Pre-specified

SF-36 Mental Composite Score

SF-36 is a standardized survey evaluating 8 domains of functional health and well-being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The mental composite score is a normalized t-score which combines the all 8 domains with a mean of 50 and standard deviation of 10 (higher scores indicate greater mental health). A t-score below 52 is a well-documented cutoff for detecting depression (per the Ware manual). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Mental Composite Score3.02.7 T-score
Botox ASF-36 Mental Composite Score9.00.6 T-score
Botox ASF-36 Mental Composite Score6.01.6 T-score
Botox ASF-36 Mental Composite Score12.00.9 T-score
Botox ASF-36 Mental Composite Score0.52.2 T-score
Mid-Urethral SlingSF-36 Mental Composite Score12.01.2 T-score
Mid-Urethral SlingSF-36 Mental Composite Score0.53.5 T-score
Mid-Urethral SlingSF-36 Mental Composite Score3.01.9 T-score
Mid-Urethral SlingSF-36 Mental Composite Score6.01.2 T-score
Mid-Urethral SlingSF-36 Mental Composite Score9.01 T-score
Other Pre-specified

SF-36 Mental Health Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for social functioning domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Mental Health Score3.00.8 units on a scale
Botox ASF-36 Mental Health Score9.0-2.4 units on a scale
Botox ASF-36 Mental Health Score6.0-2 units on a scale
Botox ASF-36 Mental Health Score12.0-0.7 units on a scale
Botox ASF-36 Mental Health Score0.50.2 units on a scale
Mid-Urethral SlingSF-36 Mental Health Score12.01.3 units on a scale
Mid-Urethral SlingSF-36 Mental Health Score0.55 units on a scale
Mid-Urethral SlingSF-36 Mental Health Score3.01.8 units on a scale
Mid-Urethral SlingSF-36 Mental Health Score6.01 units on a scale
Mid-Urethral SlingSF-36 Mental Health Score9.00.6 units on a scale
Other Pre-specified

SF-36 Physical Composite Score

SF-36 is a standardized survey evaluating 8 domains of functional health and well-being: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The physical composite score is a normalized t-score which combines the all 8 domains with a mean of 50 and standard deviation of 10 (higher scores indicate greater physical function). A t-score below 50 is a good all-around cutoff for detecting physical condition (per the Ware manual). The outcome is calculated as the difference in score at 2 weeks and 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Physical Composite Score3.03.1 T-score
Botox ASF-36 Physical Composite Score9.01.1 T-score
Botox ASF-36 Physical Composite Score6.03 T-score
Botox ASF-36 Physical Composite Score12.02 T-score
Botox ASF-36 Physical Composite Score0.53.9 T-score
Mid-Urethral SlingSF-36 Physical Composite Score12.02.8 T-score
Mid-Urethral SlingSF-36 Physical Composite Score0.51.5 T-score
Mid-Urethral SlingSF-36 Physical Composite Score3.02.6 T-score
Mid-Urethral SlingSF-36 Physical Composite Score6.03.1 T-score
Mid-Urethral SlingSF-36 Physical Composite Score9.02.2 T-score
Other Pre-specified

SF-36 Physical Functioning Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for physical function domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Physical Functioning Score0.512.9 units on a scale
Botox ASF-36 Physical Functioning Score3.010.9 units on a scale
Botox ASF-36 Physical Functioning Score6.010.5 units on a scale
Botox ASF-36 Physical Functioning Score9.08.9 units on a scale
Botox ASF-36 Physical Functioning Score12.010 units on a scale
Mid-Urethral SlingSF-36 Physical Functioning Score12.013.3 units on a scale
Mid-Urethral SlingSF-36 Physical Functioning Score9.09.7 units on a scale
Mid-Urethral SlingSF-36 Physical Functioning Score3.013.9 units on a scale
Mid-Urethral SlingSF-36 Physical Functioning Score0.512.2 units on a scale
Mid-Urethral SlingSF-36 Physical Functioning Score6.014 units on a scale
Other Pre-specified

SF-36 Role Physical Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for physical role limitations domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Role Physical Score3.012.5 units on a scale
Botox ASF-36 Role Physical Score9.03.6 units on a scale
Botox ASF-36 Role Physical Score6.012.3 units on a scale
Botox ASF-36 Role Physical Score12.08.6 units on a scale
Botox ASF-36 Role Physical Score0.514.1 units on a scale
Mid-Urethral SlingSF-36 Role Physical Score12.04.9 units on a scale
Mid-Urethral SlingSF-36 Role Physical Score0.5-1.2 units on a scale
Mid-Urethral SlingSF-36 Role Physical Score3.011.3 units on a scale
Mid-Urethral SlingSF-36 Role Physical Score6.012.1 units on a scale
Mid-Urethral SlingSF-36 Role Physical Score9.07.7 units on a scale
Other Pre-specified

SF-36 Social Functioning Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for social functioning domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Social Functioning Score3.011 units on a scale
Botox ASF-36 Social Functioning Score9.04.5 units on a scale
Botox ASF-36 Social Functioning Score6.011.5 units on a scale
Botox ASF-36 Social Functioning Score12.06.4 units on a scale
Botox ASF-36 Social Functioning Score0.510.9 units on a scale
Mid-Urethral SlingSF-36 Social Functioning Score12.07.1 units on a scale
Mid-Urethral SlingSF-36 Social Functioning Score0.59.1 units on a scale
Mid-Urethral SlingSF-36 Social Functioning Score3.05.7 units on a scale
Mid-Urethral SlingSF-36 Social Functioning Score6.06.6 units on a scale
Mid-Urethral SlingSF-36 Social Functioning Score9.012.3 units on a scale
Other Pre-specified

SF-36 Vitality Score

SF-36 is a standardized survey evaluating 8 domains of functional health and wellbeing: physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health. The score for vitality domain was an average of the individual question scores of this domain, which are scaled 0-100 (100=highest level of functioning). The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 0.5 Months (2 Weeks) and 3, 6, 9, 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)
Botox ASF-36 Vitality Score3.03.5 units on a scale
Botox ASF-36 Vitality Score9.0-0.8 units on a scale
Botox ASF-36 Vitality Score6.04.7 units on a scale
Botox ASF-36 Vitality Score12.02.7 units on a scale
Botox ASF-36 Vitality Score0.56.1 units on a scale
Mid-Urethral SlingSF-36 Vitality Score12.00.4 units on a scale
Mid-Urethral SlingSF-36 Vitality Score0.56.5 units on a scale
Mid-Urethral SlingSF-36 Vitality Score3.05.3 units on a scale
Mid-Urethral SlingSF-36 Vitality Score6.03.4 units on a scale
Mid-Urethral SlingSF-36 Vitality Score9.0-1.3 units on a scale
Other Pre-specified

UDI-LF Obstructive Score Change From Baseline

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 outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.

Time frame: 3, 6, 9, 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)
Botox AUDI-LF Obstructive Score Change From Baseline6.0-8.9 units on a scale
Botox AUDI-LF Obstructive Score Change From Baseline12.0-11.8 units on a scale
Botox AUDI-LF Obstructive Score Change From Baseline9.0-10.2 units on a scale
Botox AUDI-LF Obstructive Score Change From Baseline3.0-13.5 units on a scale
Mid-Urethral SlingUDI-LF Obstructive Score Change From Baseline3.0-10.1 units on a scale
Mid-Urethral SlingUDI-LF Obstructive Score Change From Baseline6.0-13.4 units on a scale
Mid-Urethral SlingUDI-LF Obstructive Score Change From Baseline9.0-12.6 units on a scale
Mid-Urethral SlingUDI-LF Obstructive Score Change From Baseline12.0-11.7 units on a scale
Other Pre-specified

Worsening Voiding Frequency Post Baseline

Based on data collected from participant-completed diaries at baseline and 3, 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: 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)
Botox AWorsening Voiding Frequency Post Baseline3.0No49 Participants
Botox AWorsening Voiding Frequency Post Baseline3.0Yes12 Participants
Botox AWorsening Voiding Frequency Post Baseline6.0No36 Participants
Botox AWorsening Voiding Frequency Post Baseline6.0Yes17 Participants
Botox AWorsening Voiding Frequency Post Baseline12.0No37 Participants
Botox AWorsening Voiding Frequency Post Baseline12.0Yes16 Participants
Mid-Urethral SlingWorsening Voiding Frequency Post Baseline12.0No34 Participants
Mid-Urethral SlingWorsening Voiding Frequency Post Baseline3.0No39 Participants
Mid-Urethral SlingWorsening Voiding Frequency Post Baseline6.0Yes28 Participants
Mid-Urethral SlingWorsening Voiding Frequency Post Baseline3.0Yes22 Participants
Mid-Urethral SlingWorsening Voiding Frequency Post Baseline12.0Yes22 Participants
Mid-Urethral SlingWorsening Voiding Frequency Post Baseline6.0No32 Participants

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026