Surgical vs. Medical Treatment of Urge Urinary Incontinence in Women

NCT ID: NCT01737411

Last Updated: 2015-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2018-06-30

Brief Summary

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The purpose of this study is to determine if pelvic surgery can improve urge urinary incontinence in women more than standard medical treatment.

Detailed Description

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Urge Urinary Incontinence affects 30% of postmenopausal women. The etiology is unknown therefore treatment is symptomatic. For that purpose the nerval stimulation of the bladder muscle is interfered by several drugs, e.g. solifenacin.

We observed that the surgical repair of critical pelvic structures, i.e. the uteri-sacral ligaments (USL) can restore continence in a considerable number of patients.

In this study the surgical treatment is compared with the solifenacin treatment. According to outcome after three months patients who are still incontinent are referred to the opposite treatment group.

Outcome will be differentiated in cure (primary aim) and improvement of symptoms (secondary aim).

Conditions

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Urge Urinary Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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solifenacin

10 mg solifenacin per day for three months

Group Type ACTIVE_COMPARATOR

solifenacin

Intervention Type DRUG

cesa/vasa

repair of USL

Group Type EXPERIMENTAL

cesa/vasa

Intervention Type PROCEDURE

surgical repair of USL

Interventions

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solifenacin

Intervention Type DRUG

cesa/vasa

surgical repair of USL

Intervention Type PROCEDURE

Other Intervention Names

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VESICUR

Eligibility Criteria

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Inclusion Criteria

* urge urinary incontinence

Exclusion Criteria

* stress urinary incontinence
* cancer disease of the females genital tract
* pregnancy
* neurologic/psychological reasons for incontinence
* body weight \>100kg
* previous urogynecological surgery (TVT)
* syndrome of dry overactive bladder (\>20 micturitions within 24 hours)
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Klinikum der Universität Köln

OTHER

Sponsor Role lead

Responsible Party

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Professor Dr. Wolfram Jäger

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wolfram H Jager, PhD

Role: STUDY_DIRECTOR

Study Supervisor

Locations

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Abt. Beckenbodenchirugie der Universitäts-Frauenklinik Köln

Cologne, North Rhine-Westphalia, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Wolfram H Jager, PhD

Role: CONTACT

0049221478 ext. 4900

Peter S Mallmann, Phd

Role: CONTACT

0049221478 ext. 4940

Facility Contacts

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Wolfram H Jager

Role: primary

0049221478 ext. 4900

Other Identifiers

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URGE-I

Identifier Type: OTHER

Identifier Source: secondary_id

URGE-I

Identifier Type: OTHER

Identifier Source: secondary_id

11-016

Identifier Type: OTHER

Identifier Source: secondary_id

URGE-I

Identifier Type: -

Identifier Source: org_study_id

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