Actively Recruiting

Phase Not Applicable
Age: 20Years - 75Years
FEMALE
ID07563764

A Randomized, Double-Blind, Sham-Controlled Trial of Low-Energy Extracorporeal Shock Wave Therapy for Overactive Bladder in Women With Metabolic Syndrome

Led by KMUHIRB-F(I)-20230051 · Updated on 2026-05-04

60

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Overactive bladder (OAB) is a common condition causing urinary urgency, frequent urination, and nighttime urination, which can greatly impact quality of life. Women with metabolic syndrome, a group of conditions including high blood pressure, high blood sugar, abnormal cholesterol, and abdominal obesity, may have a higher risk of OAB. This study evaluates the safety and effectiveness of low-energy extracorporeal shock wave therapy (LiESWT), a non-invasive treatment, in women with metabolic syndrome-associated OAB. Participants are randomly assigned to receive either active LiESWT or a sham (inactive) procedure that mimics the treatment without delivering shock waves. LiESWT is applied using a focused shock wave device at a specific energy and frequency setting, with 3,000 pulses per session directed at the bladder area. The study is double-blind and sham-controlled to compare outcomes between groups. Participants will complete validated questionnaires measuring OAB symptoms, urinary distress, and impact on daily life at baseline and follow-ups up to 24 weeks. Additional assessments include urine flow rates, bladder ultrasound to measure residual urine volume, and a 3-day voiding diary to track urine output and frequency. These measures will help determine changes in symptoms and bladder function over the study period.

CONDITIONS

Brief Title

Low-Energy Shock Wave Therapy for Overactive Bladder in Women With Metabolic Syndrome

Who Can Participate

Age: 20Years - 75Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female participants aged 20 to 75 years
  • Diagnosed with overactive bladder, including urinary frequency (≥8 times/day), nocturia (≥2 times/night), and urgency (≥2 episodes/week) for at least 3 months
  • Diagnosed with metabolic syndrome with at least three of the following: waist circumference ≥80 cm, blood pressure ≥130/85 mmHg or on antihypertensive treatment, fasting glucose ≥100 mg/dL or diabetes treatment, triglycerides ≥150 mg/dL or lipid-lowering treatment, HDL cholesterol <50 mg/dL
  • No pharmacological or injection treatment for overactive bladder within 3 months prior to enrollment
  • Able to understand and comply with study procedures and questionnaires
  • Willing to provide informed consent
Not Eligible

You will not qualify if you...

  • History of kidney or bladder stones
  • Urinary tract infection within 3 months prior to enrollment or recurrent urinary tract infections (≥3 episodes)
  • Lower urinary tract surgery within 6 months prior to enrollment
  • Known or suspected urinary tract malignancy
  • Significant bladder outlet obstruction
  • Severe coagulopathy, liver failure, or renal failure
  • Prior pelvic malignancy or pelvic radiation therapy
  • Intravesical injection or electrical stimulation therapy within the past year
  • Substance abuse (drug or alcohol) within the past year
  • Chronic pelvic pain due to other causes
  • Inability to complete study questionnaires or procedures

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 - 6 weeks

Participants receive either low-energy extracorporeal shock wave therapy or a sham procedure applied to the bladder region.

6 weekly visits (in-person)

Follow-up

Duration - 18 weeks

Participants are monitored for symptom changes and safety after completing treatment.

4 follow-up visits (in-person)

Trial Site Locations

Total: 1 location

1

Kaohsiung medical university

Kaohsiung, Taiwan, Taiwan, 807

Actively Recruiting

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Research Team

J

JIUNHUNG GENG, MD

Y

Yung-Chin Lee, MD, PHD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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