Actively Recruiting

Phase Not Applicable
Age: 18Years +
FEMALE
ID05773378

Do Intravaginal Devices Reduce or Eliminate Exercise Induced Urinary Incontinence in Female Runners?

Led by University of Ottawa · Updated on 2024-12-17

90

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Urinary incontinence (UI) during exercise is a common issue affecting more than one in five females, often causing embarrassment and leading many to reduce or stop physical activity. This study focuses on female runners who experience urine leakage during running, a high-impact activity that may worsen UI. The trial aims to evaluate the effect of intravaginal devices specifically on UI caused by running, as no prior study has targeted this group despite evidence supporting pelvic floor muscle training and pessaries for general UI. The study compares three groups over a 10-week period: one group will use an intravaginal pessary device called Uresta during running sessions, another will use regular tampons during running, and a control group will continue their usual running routine without any intervention. The Uresta pessary is a reusable device available in three sizes, providing mechanical support when inserted vaginally, while tampon use is limited to running times and then discarded. After the 10-week intervention, all participants will have follow-up assessments up to 36 weeks, and control or tampon groups may receive the pessary later if desired. Participants will be monitored through various assessments including urine leakage tracking during training, patient-reported improvement and satisfaction, and validated questionnaires on urinary symptoms at baseline, post-intervention, and follow-ups. Additional measures include pelvic floor muscle strength and imaging assessments before and after the intervention. Weekly check-ins will track adherence and any unintended effects. The total study duration includes the intervention period and follow-ups extending to 36 weeks after starting treatment.

CONDITIONS

Brief Title

Do Intravaginal Devices Reduce Urinary Incontinence in Female Runners?

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female, aged 18 years or older
  • Runs at least twice a week covering a minimum of 10 kilometers per week at a speed of 6 km/h or more
  • Has been running this amount consistently for at least 6 months
  • Regularly experiences urine leakage while running at least once per week
  • Commits to continuing the same running amount during the study period
Not Eligible

You will not qualify if you...

  • Any risk factors related to exercise
  • Current pain or musculoskeletal injury at screening
  • History of urogenital surgery
  • Symptoms of the female athlete triad
  • Known neurologic disorders such as stroke or multiple sclerosis
  • Pregnant or gave birth within the past year
  • Unable to run on a treadmill for 38 minutes with a moderately full bladder
  • Body mass index (BMI) of 30 or higher
  • Pelvic organ prolapse stage 2 or greater

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 10 weeks

Participants use either an intravaginal pessary or tampons during their running sessions over a 10-week period, or continue running without intervention if assigned to the control group.

Weekly visits for up to 12 weeks

Follow-up

Duration - 24 weeks

Participants are assessed for urinary incontinence symptoms and satisfaction with the intervention at multiple time points after treatment ends.

Visits at 16, 24, and 36 weeks post-treatment

Trial Site Locations

Total: 1 location

1

McLean Function Measurement Lab

Ottawa, Ontario, Canada, K1S 1S2

Actively Recruiting

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Research Team

L

Linda McLean

S

Sabine Vesting

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: A systematic review.

Sania Almousa, Alda Bandin van Loon

https://pubmed.ncbi.nlm.nih.gov/29169586