Status:

COMPLETED

Efficacy of Physiotherapy for Urinary Incontinence in Women With a Puborectalis Avulsion

Lead Sponsor:

Université de Sherbrooke

Collaborating Sponsors:

Canadian Institutes of Health Research (CIHR)

Conditions:

Urinary Incontinence

Postpartum

Eligibility:

FEMALE

18-45 years

Phase:

NA

Brief Summary

Childbirth is a major risk factor for pelvic floor muscle (PFM) trauma. In one third of women, stretching of the PFM will result in an avulsion injury (i.e. disconnection of the muscle from its insert...

Detailed Description

This is a multicenter randomized controlled trial using a parallel group design that involves women with a confirmed diagnosis of avulsion and suffering from urinary incontinence. Participants will be...

Eligibility Criteria

Inclusion

  • 18-45 years old
  • Postpartum women (≥ 1 vaginal delivery at term (≥ 37 weeks) and ≥ 3 months postpartum
  • ≥ 3 urinary incontinence episodes per week over the last 3 months (Symptoms of incontinence must be associated predominantly or solely with stress urinary incontinence (as opposed to urge incontinence) which will be determined with a recommended and validated diagnosis questionnaire (Questionnaire for Urinary Incontinence Diagnosis))
  • Women with diagnosis avulsion injury

Exclusion

  • Pregnancy or postmenopausal
  • Previous pelvic irradiation, urogynecological surgery, or PFM physiotherapy after the avulsion occurred
  • Significant prolapse (≥3 degree)
  • Incontinence due to other causes such as infection, neurological diseases, voiding difficulties
  • Any other acute or chronic medical problems likely to interfere with treatment or evaluation such as cancer, chronic constipation (Rome III criteria), obesity (body mass index \>35), pacemaker, bladder stimulator
  • Medication or ongoing treatment likely to interfere with incontinence

Key Trial Info

Start Date :

August 28 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 10 2023

Estimated Enrollment :

126 Patients enrolled

Trial Details

Trial ID

NCT03254355

Start Date

August 28 2017

End Date

May 10 2023

Last Update

June 15 2023

Active Locations (1)

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Centre Hospitalier Universitaire de Sherbrooke

Sherbrooke, Quebec, Canada, J1H 5N4