Does a Regular Tampon or Intravaginal Pessary Reduce Urine Leakage While Running in Females with Exercise-induced Urinary Incontinence?

What this Trial Is About

Researchers are evaluating whether using a regular menstrual tampon or a Uresta pessary can reduce urine leakage caused by running-induced stress urinary incontinence in females aged 18 and older. The study also aims to see if these devices lessen changes in pelvic structure after running and whether participants continue using them during running over a 4-week period. The study is interventional and randomized, examining symptom reduction, satisfaction, and pelvic floor strain with these devices. Participants will attend three lab visits within 10 days, where bladder volume will be controlled and 3D ultrasound imaging of the pelvic area will be done before and after a treadmill running protocol. The protocol includes 25 minutes of moderate running followed by 5 minutes of higher intensity running. Participants will use either a tampon or the Uresta pessary during these runs, with urine leakage monitored every 5 minutes. After the study, participants may keep the pessary and will be contacted 4 weeks later to report device use and satisfaction. During the study, participants complete a baseline questionnaire on demographics and incontinence severity. Researchers will assess urine leakage severity at baseline and during visits 2 and 3, along with pelvic floor measurements before and after running. Follow-up at 4 weeks post-study will check continued device use. The study also tracks participant perceptions of improvement and measures changes in pelvic support structures. Safety and adherence are monitored throughout the trial.

Managing Impact-related Leakage During Exercise Using Intravaginal Support