Platelet Rich Plasma in Women With Urinary Incontinence

NCT ID: NCT05112718

Last Updated: 2021-11-09

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

PHASE2/PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2022-12-31

Brief Summary

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Stress urinary incontinence (SUI) is defined as involuntary loss of urine on effort or physical exertion or on sneezing or coughing. Platelet-rich plasma (PRP) is an autologous solution of human plasma containing various growth factors witch enhance regeneration and healing process. The aim of this study is to evaluate the efficacy and safety of PRP in the treatment of the female SUI.

Detailed Description

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Conditions

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Urinary Incontinence Stress Urinary Incontinence

Keywords

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incontinence urinary incontinence stress urinary incontinence platelet rich plasma PRP, outpatient treatment nonsurgical treatment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Platelet Rich Plasma

The patients who receive PRP injections

Group Type EXPERIMENTAL

Platelet Rich Plasma Injections

Intervention Type BIOLOGICAL

PRP injected into 9 sites of the distal anterior one-third of the vagina using a small 30-gauge needle. The injections were performed at 10, 12 and 2 o'clock in 3 different levels of the urethra 1-2 cm apart (distal, mid and proximal).

The participants will receive 2 PRP injections at 4-6-week intervals. Xylocaine gel 2% is applied to the distal anterior vaginal wall 20 minutes before injections.

Normal Saline

The patients who receive normal saline

Group Type SHAM_COMPARATOR

Normal Saline Injections

Intervention Type OTHER

Normal saline injected into 9 sites of the distal anterior one-third of the vagina using a small 30-gauge needle. The injections were performed at 10, 12 and 2 o'clock in 3 different levels of the urethra 1-2 cm apart (distal, mid and proximal).

The participants will receive 2 injections at 4-6-week intervals.

Interventions

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Platelet Rich Plasma Injections

PRP injected into 9 sites of the distal anterior one-third of the vagina using a small 30-gauge needle. The injections were performed at 10, 12 and 2 o'clock in 3 different levels of the urethra 1-2 cm apart (distal, mid and proximal).

The participants will receive 2 PRP injections at 4-6-week intervals. Xylocaine gel 2% is applied to the distal anterior vaginal wall 20 minutes before injections.

Intervention Type BIOLOGICAL

Normal Saline Injections

Normal saline injected into 9 sites of the distal anterior one-third of the vagina using a small 30-gauge needle. The injections were performed at 10, 12 and 2 o'clock in 3 different levels of the urethra 1-2 cm apart (distal, mid and proximal).

The participants will receive 2 injections at 4-6-week intervals.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult women with stress urinary incontinence

Exclusion Criteria

* pregnancy,
* history of active malignant pathology,
* mental disorders making them unable to give consent,
* undiagnosed abnormal uterine bleeding,
* genitourinary fistula,
* anti-incontinence surgery,
* pelvic organ prolapse stage \> 2 according to POP-Q system
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National and Kapodistrian University of Athens

OTHER

Sponsor Role lead

Responsible Party

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Themos Grigoriadis

Associate Professor of Gynecology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stavros Athanasiou, Professor

Role: PRINCIPAL_INVESTIGATOR

National and Kapodistrian University of Athens

Locations

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Urogynecological Unit of Alexandra Hospital

Athens, , Greece

Site Status RECRUITING

Countries

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Greece

Central Contacts

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Stavros Athanasiou, Professor

Role: CONTACT

Phone: +306944478555

Email: [email protected]

Facility Contacts

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Stavros Athanasiou, Prof.

Role: primary

Themos Grigoriadis, As. Prof.

Role: backup

References

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Dawood AS, Salem HA. Current clinical applications of platelet-rich plasma in various gynecological disorders: An appraisal of theory and practice. Clin Exp Reprod Med. 2018 Jun;45(2):67-74. doi: 10.5653/cerm.2018.45.2.67. Epub 2018 Jun 29.

Reference Type BACKGROUND
PMID: 29984206 (View on PubMed)

Alves R, Grimalt R. A Review of Platelet-Rich Plasma: History, Biology, Mechanism of Action, and Classification. Skin Appendage Disord. 2018 Jan;4(1):18-24. doi: 10.1159/000477353. Epub 2017 Jul 6.

Reference Type BACKGROUND
PMID: 29457008 (View on PubMed)

Schreiber Pedersen L, Lose G, Hoybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand. 2017 Aug;96(8):939-948. doi: 10.1111/aogs.13149. Epub 2017 May 20.

Reference Type BACKGROUND
PMID: 28401541 (View on PubMed)

Behnia-Willison F, Nguyen TTT, Norbury AJ, Mohamadi B, Salvatore S, Lam A. Promising impact of platelet rich plasma and carbon dioxide laser for stress urinary incontinence. Eur J Obstet Gynecol Reprod Biol X. 2019 Oct 22;5:100099. doi: 10.1016/j.eurox.2019.100099. eCollection 2020 Jan.

Reference Type BACKGROUND
PMID: 32021973 (View on PubMed)

Grigoriadis T, Kalantzis C, Zacharakis D, Kathopoulis N, Prodromidou A, Xadzilia S, Athanasiou S. Platelet-Rich Plasma for the Treatment of Stress Urinary Incontinence-A Randomized Trial. Urogynecology (Phila). 2024 Jan 1;30(1):42-49. doi: 10.1097/SPV.0000000000001378. Epub 2023 Jun 1.

Reference Type DERIVED
PMID: 37493287 (View on PubMed)

Other Identifiers

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420/20-09-2019

Identifier Type: -

Identifier Source: org_study_id