Pelvic Floor Rehabilitation Study (Beckenboden-Rehabilitationsstudie - BREST)

NCT ID: NCT06031870

Last Updated: 2023-09-11

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

COMPLETED

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-01

Study Completion Date

2021-08-31

Brief Summary

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This study compares the effectiveness of standard care, pelvic floor muscle training or vaginal pessary for the treatment of postpartum urinary incontinence.

Detailed Description

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Conditions

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Postpartum 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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Standard care

Group Type ACTIVE_COMPARATOR

Standard care

Intervention Type BEHAVIORAL

Standard care consisted of a pelvic floor group exercise course led by a midwife, a physiotherapist, or an osteopath. Courses were in general once a week for a minimum of seven to a maximum of twelve weeks. The course was chosen by the patient, and the study team had no influence on the choice.

Pelvic floor muscle training

Group Type ACTIVE_COMPARATOR

Pelvic floor muscle training

Intervention Type PROCEDURE

Twelve pelvic floor physiotherapy sessions were prescribed by the study physician. Pelvic floor physiotherapy was performed in individual courses by trained physiotherapists. The patient was free to choose the physiotherapist and the study team had no influence on the choice.

Vaginal pessary

Group Type EXPERIMENTAL

Vaginal pessary

Intervention Type DEVICE

In the pessary group, all patients received a cube pessary, which was individually adapted to each patient. These pessaries exist in sizes 0 (25 mm edge length) to 9 (75 mm edge length). Patients were instructed by a physician or a trained nurse on how to autonomously manage the pessary, including daily changing and cleaning. After one week of treatment, all patients had an office visit to check if fitting was correct and if autonomous handling of the pessary was feasible. Treatment duration was 12 weeks.

Interventions

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Vaginal pessary

In the pessary group, all patients received a cube pessary, which was individually adapted to each patient. These pessaries exist in sizes 0 (25 mm edge length) to 9 (75 mm edge length). Patients were instructed by a physician or a trained nurse on how to autonomously manage the pessary, including daily changing and cleaning. After one week of treatment, all patients had an office visit to check if fitting was correct and if autonomous handling of the pessary was feasible. Treatment duration was 12 weeks.

Intervention Type DEVICE

Standard care

Standard care consisted of a pelvic floor group exercise course led by a midwife, a physiotherapist, or an osteopath. Courses were in general once a week for a minimum of seven to a maximum of twelve weeks. The course was chosen by the patient, and the study team had no influence on the choice.

Intervention Type BEHAVIORAL

Pelvic floor muscle training

Twelve pelvic floor physiotherapy sessions were prescribed by the study physician. Pelvic floor physiotherapy was performed in individual courses by trained physiotherapists. The patient was free to choose the physiotherapist and the study team had no influence on the choice.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* gave birth within the 12 weeks prior to the postpartum visit
* postpartum urinary incontinence
* able to understand and give consent in German

Exclusion Criteria

* treatment for postpartum urinary incontinence that started prior to inclusion
* any neurologic disease that impairs bladder function
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Soren Lange

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Die GynPraxis

Alzey, , Germany

Site Status

Die GynPraxis

Bad Kreuznach, , Germany

Site Status

Die GynPraxis

Lampertheim, , Germany

Site Status

Die GynPraxis

Mainz, , Germany

Site Status

Countries

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Germany

Other Identifiers

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2018-13832

Identifier Type: -

Identifier Source: org_study_id

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