Status:

COMPLETED

Further Enhancing Non-pharmacologic Therapy for Incontinence

Lead Sponsor:

University of Pittsburgh

Collaborating Sponsors:

National Institutes of Health (NIH)

National Institute on Aging (NIA)

Conditions:

Urge Urinary Incontinence

Eligibility:

FEMALE

60+ years

Phase:

NA

Brief Summary

To determine the mechanisms mediating the therapeutic efficacy of pelvic floor muscle exercises and biofeedback for urge urinary incontinence, as well as the characteristics of patients most likely to...

Detailed Description

Urinary incontinence (UI) is prevalent and morbid in the elderly, and its associated costs exceed $26 billion annually. Although effective therapy exists, it is underutilized. This is particularly tru...

Eligibility Criteria

Inclusion

  • ambulatory women over age 60, who are incontinent at least twice weekly for 3 months despite correction of potentially reversible causes.
  • urinary incontinence (urge or predominantly urge) by clinical criteria.
  • able to accurately complete a voiding diary, to perform a 24-hour pad test under direction, and to undergo instruction in biofeedback.

Exclusion

  • significant mental impairment \[mini mental status exam (MMSE) ≤ 20)
  • urethral obstruction
  • history of bladder cancer
  • spinal cord lesions
  • multiple sclerosis
  • pelvic radiation
  • interstitial cystitis
  • artificial sphincter implant
  • expected to have changes in medications/doses during the trial
  • medically unstable
  • Patients with factors that could cause transient UI \[e.g., current urinary tract infection (UTI), acute confusion\] will be treated in concert with the subject's primary care provider and considered for enrollment if their UI persists.
  • conditions that require endocarditis prophylaxis (such as heart valve problems or bacterial endocarditis)
  • being unable to undergo fMRI because of claustrophobia or any metallic objects in the body, such pacemakers, metallic prostheses, aneurism clips or others.

Key Trial Info

Start Date :

February 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2016

Estimated Enrollment :

123 Patients enrolled

Trial Details

Trial ID

NCT00177541

Start Date

February 1 2004

End Date

September 1 2016

Last Update

August 8 2017

Active Locations (1)

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1

Geriatric Continence Research Unit, NE547 Montefiore UPMC

Pittsburgh, Pennsylvania, United States, 15213