Female Stress Urinary Incontinence
Conditions
Keywords
PRP- i-PRF- SUI
Brief summary
compare the therapeutic effect of periurethral injection of autologous platelet-rich plasma (PRP) and injectable platelet rich fibrin (i-PRF) in treatment of female stress urinary incontinence and comparing the need for re-injection in the two groups.
Interventions
Approximately 5 mL of PRP will be injected at three points (on both sides of the urethra and urethrovaginal space) under local anesthesia. Injections will be performed by gynecologist in the outpatient clinic.
Approximately 5 mL of i-PRF will be injected at three points (on both sides of the urethra and urethrovaginal space) under local anesthesia. Injections will be performed by gynecologist in the outpatient clinic
Sponsors
Study design
Eligibility
Inclusion criteria
* Female patients with primary symptoms of SUI confirmed by patient's medical history and clinical examination, including a focused incontinence evaluation * Age range of 30-75 years * Females unfit for surgery * Females with SUI recurrence after previous surgical procedure by suburethal sling * Females refusing surgical interventions
Exclusion criteria
* Residual urine volume exceeding 100 cc after excretion * Evidence of detrusor over-activity on the urodynamic test * Active urinary tract or vaginal infection * Malignancies of the genitourinary system * Patients with genitourinary fistula or urethral diverticulum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes in the severity of SUI measured by Incontinence Impact Questionnaire (IIQ7) | baseline and three and six months follow up |
Secondary
| Measure | Time frame |
|---|---|
| changes in the severity of SUI using 10 point visual analogue scale | baseline and three and six months follow up |
Countries
Egypt