Laser and High Intensity Tesla Magnetic Stimulation (HITS) for Stress Urinary Incontinence (SUI)

NCT ID: NCT05670392

Last Updated: 2023-01-04

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-01

Study Completion Date

2025-01-31

Brief Summary

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To investigate the efficacy of combined laser and HITS treatment for female stress urinary incontinence (SUI)

Detailed Description

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This study is a single-centre, two-arm randomized control trial study conducted according to Helsinki Declaration. Women with symptoms of stress urinary incontinence (SUI) (stress or mixed with stress incontinence as the predominant symptom) will be enrolled.

The efficacy and safety of combined treatment with non-ablative intravaginal Er:YAG laser procedure and high intensity Tesla magnetic stimulation will be compared to the treatment of non-ablative intravaginal Er:YAG laser alone.

Conditions

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Stress Urinary Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

a two-arm parallel assignment, randomized control trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1: laser and HITS treatment

Laser and magnetic chair Treatment

Group Type ACTIVE_COMPARATOR

laser and High intensity Tesla magnetic stimulation

Intervention Type DEVICE

Three (3) non-ablative Er:YAG laser treatments will be applied at monthly intervals followed by Eight (8) HITS therapies) Patients will receive two (2) HITS treatments per week for four (4) weeks(.

Arm 2: laser (without HITS treatment)

Laser treatment

Group Type OTHER

laser (without HITS treatment)

Intervention Type DEVICE

Three (3) non-ablative Er:YAG laser treatments will be applied at monthly intervals as described above.

Interventions

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laser and High intensity Tesla magnetic stimulation

Three (3) non-ablative Er:YAG laser treatments will be applied at monthly intervals followed by Eight (8) HITS therapies) Patients will receive two (2) HITS treatments per week for four (4) weeks(.

Intervention Type DEVICE

laser (without HITS treatment)

Three (3) non-ablative Er:YAG laser treatments will be applied at monthly intervals as described above.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Adult female, 18 years of age or older
2. Clinical diagnosis of stress or mixed urinary incontinence, with stress incontinence as the predominant symptom (SUI or MUI)

Exclusion Criteria

1. Very severe urinary incontinence (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) ICIQ-UI )score at baseline \>18 or Pad test \> 50 gr)
2. Pregnancy
3. BMI\>35
4. Acute urinary tract infections (UTIs)
5. History of a genital fistula, a thin recto-vaginal septum as determined by the investigator or history of a fourth-degree laceration during screening physical exam (e.g., perineal body)
6. Active sexually transmitted disease upon vaginal exam (as determined by the investigator) that precludes treatment or any other vaginal infection
7. Prolapse grade 2 or higher
8. History of radiotherapy for cervical or uterine cancer
9. Medical condition that may interfere with participants' compliance to the protocol
10. Medical condition for which the HITS and laser therapy are contraindicated
11. Previous laser or HITS treatment for SUI
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Fotona d.o.o.

INDUSTRY

Sponsor Role collaborator

Cork University Maternity Hospital

OTHER

Sponsor Role lead

Responsible Party

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Barry O'Reilly

Head of Urogynecology department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Barry O'Reilly, Prof.

Role: PRINCIPAL_INVESTIGATOR

Cork University Maternity Hospital

Central Contacts

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Yair Daykan, M.D

Role: CONTACT

+353216013387

Suzan Wilson, M.D

Role: CONTACT

+353858887814

References

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Kuszka A, Gamper M, Walser C, Kociszewski J, Viereck V. Erbium:YAG laser treatment of female stress urinary incontinence: midterm data. Int Urogynecol J. 2020 Sep;31(9):1859-1866. doi: 10.1007/s00192-019-04148-9. Epub 2019 Dec 11.

Reference Type BACKGROUND
PMID: 31828400 (View on PubMed)

Chandi DD, Groenendijk PM, Venema PL. Functional extracorporeal magnetic stimulation as a treatment for female urinary incontinence: 'the chair'. BJU Int. 2004 Mar;93(4):539-42. doi: 10.1111/j.1464-410x.2003.04659.x.

Reference Type BACKGROUND
PMID: 15008725 (View on PubMed)

Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018 Oct 4;10(10):CD005654. doi: 10.1002/14651858.CD005654.pub4.

Reference Type RESULT
PMID: 30288727 (View on PubMed)

He Q, Xiao K, Peng L, Lai J, Li H, Luo D, Wang K. An Effective Meta-analysis of Magnetic Stimulation Therapy for Urinary Incontinence. Sci Rep. 2019 Jun 24;9(1):9077. doi: 10.1038/s41598-019-45330-9.

Reference Type RESULT
PMID: 31235706 (View on PubMed)

Other Identifiers

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LASERHITS

Identifier Type: -

Identifier Source: org_study_id

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