Radiofrequency in the Female Stress Urinary Incontinence

Not Applicable

Recruiting

• Conditions: Urinary Stress Incontinence
• Interventions: Device: Radiofrequency OFF; Device: Radiofrequency

• Registration Number: NCT02617797
• Lead Sponsor: Centro de Atenção ao Assoalho Pélvico

Brief Summary

Urinary stress incontinence ( SUI ) is defined as an involuntary loss of urinary Complaint no effort According to the Consensus of the International Continence Society (Society Continence International - ICS) . SUI Prevalence of adult female Population and 25 % to 30 %.However, despite the high prevalence, many women who have symptoms of SUI or not seek treatment remain without resolution of symptoms.Then there is the possibility of using non-invasive radiofrequency and non-ablation in external urethral meatus in order to stimulate collagen production, as one of the pathophysiological mechanisms of stress urinary incontinence is the collagen deficit in the urethral wall. It is a randomized clinical trial and the group experimental will utilize radiofrequency and kinesiotheraphy ( clinical and in home) and the group control utilize turn off- radiofrequency and kinesiotherapy (clinical and in home). The protocol f the kinesiotherapy is the same both the group, and the protocol radiofrequency the group experimental will 5 sessions (one per week) with temperature 38ºC during 2 minutes. The group control will 5 sessions (one per week) but the radiofrequency will off but glycerin is heated, for masking for the patient, during 2 min. The result of the treatment is assessed by pad test 1 hour and have others outcomes ( quality of life- Sf-26 ans King Health- and sexual function- FSFI questionaire)

Detailed Description

Not available

Study Timeline

• Study Start: 2015-09
• Study First Submitted: 2015-11-22
• Study First Submitted QC: 2015-11-26
• Study First Posted: 2015-12-01
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-21
• Last Update Posted: 2023-06-23
• Primary Completion: 2024-06
• Study Completion: 2025-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: Female
• Target Recruitment: 42

Inclusion Criteria

• 21 Women with age between 18-59 years old,
• women with diagnosis of urinary incontinence and have a Pelvic floor muscle contractility was assessed by digital palpation using the validated Modified Oxford Scale (MOS) greater than or equal to three

Exclusion Criteria

• Patients with cognitive deficits or psychiatric illness;
• suffering from chronic degenerative neurological diseases; which have greater than 50 ml post-voiding residue ;
• sensory deficit in the genital region;
• people with pacemakers and implantable cardioverter-defibrillator and pregnant women will be excluded from the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Radiofrequency Off	Radiofrequency OFF	Control group: women with stress urinary incontinence will be submitted to the treatment of kinesiotherapy standard perineal ( pelvic muscle exercises ) every day in home and one session per week in the clinic beyond the application of radiofrequency off in genital area once a week with the total of 5 sessions.
Radiofrequency	Radiofrequency	Experimental group: women with urinary incontinence are subjected to standard treatment kinesiotherapy perineal ( pelvic muscle exercises ) every day in home and one session per week in the clinic in beyond the RF application in the genital area once a week to total 5 sessions.

Primary Outcome Measures

Name	Time	Method
Urinary loss modification	one week, one month, two month , three month and six month	The pad test will be held at the beginning of treatment and one week, one month, two month, three month and six month after the last session of radio frequency. The pad test it quantifies in grams urinary loss through the absorbent weighing.

Secondary Outcome Measures

Name	Time	Method
overall quality of life	one week	Will be evaluated before and after radio frequency the overall quality of life - SF-36 - questionaire.
specific Quality of life	one week	The quality of life will be assessed by one for specific urinary symptoms - Health King , measure with unit of the scale
Sexual Function	one week	Will be evaluated before and after radio frequency sexual function of women, through questionary FSFI in which there is a switching station which evaluates the presence of sexual dysfunction, and there is specific scores for the domains of pain, desire, lubrication, arousal, orgasm, and satisfaction.

Trial Locations

Locations (1)

Centro de Atenção ao Assoalho Pelvico; 🇧🇷 Salvador, Ba, Brazil