Platelet-rich Fibrin Versus HIFU in Management of Stress Urinary Incontinence

NCT ID: NCT04144829

Last Updated: 2019-11-05

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

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2021-08-01

Brief Summary

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Aim of the study is to compare effect of High Intensity Focused Ultrasound (HIFU) and platelet-rich fibrin in management of stress urinary incontinence.

It is a randomized prospective study. After assigning to one of the two groups, patients will undergo relevant treatment.

First group will undergo 3 cycles of intravaginal HIFU treatment in 6-weeks interval.

Second group will undergo 3 injections of platelet-rich fibrin under urethra. Before the treatment and after 2, 6 and 12 months after treatment is finished patients will be asked to fill questionaries concerning quality of life ICIQ-UI SF, ICIQ-LUTS, PISQ12, FSFI.

Before each treatment cycle patients will be examined and asked to fill daily micturition plan.

Detailed Description

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Conditions

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Stress Urinary Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HIFU

3 cycles of HIFU treatment in 6-week intervals

Group Type ACTIVE_COMPARATOR

HIFU

Intervention Type PROCEDURE

Intravaginal HIFU procedure, lengths 1.5, 3 and 4.5 mm - 200, 200 and 100 impulses respectively

Fibrin

3 cycles of platelet-rich fibrin injection treatment in 6-week intervals

Group Type ACTIVE_COMPARATOR

Fibrin

Intervention Type PROCEDURE

Injection of 2ml platelet-rich fibrin from centrifuged for 5 min patient's blood under the urethra

Interventions

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HIFU

Intravaginal HIFU procedure, lengths 1.5, 3 and 4.5 mm - 200, 200 and 100 impulses respectively

Intervention Type PROCEDURE

Fibrin

Injection of 2ml platelet-rich fibrin from centrifuged for 5 min patient's blood under the urethra

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* stress urinary incontinence of low grade
* separate episodes of urinary incontinence (associated with increase of abdominal pressure)
* no cystocoele or cystocoele POPQ1
* positive cough test when filled bladder

Exclusion Criteria

* POPQ 2 and more
* patients after urogenital operations or radiation
* neuromuscular, hematologic, autoimmune, uncontrolled psychiatric diseases
* uncontrolled diabetes
* pregnancy, lactation
* patients undergoing conservative treatment for stress urinary incontinence
* ASA or other anti-platelet drug intake less than 7 days before and 7 days after procedure
* active carcinomas or status less than 5 years after treatment
* sepsis
* infection in treated region
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Intima Clinic

INDUSTRY

Sponsor Role lead

Responsible Party

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Tomasz Basta

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tomasz Basta, PhD

Role: PRINCIPAL_INVESTIGATOR

Intima Clinic

Locations

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Intima Clinc

Krakow, Malopolskie Voivodeship, Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Tomasz Basta, PhD

Role: CONTACT

501295424

Anna Horbaczewska, MD

Role: CONTACT

603307027

Facility Contacts

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Tomasz Basta, PhD

Role: primary

501295424 ext. 0048

Anna Horbaczewska, MD

Role: backup

603307027 ext. 0048

Other Identifiers

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Intima1/2019

Identifier Type: -

Identifier Source: org_study_id

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