MedPath

Ambulatory Pessary Trial

Not Applicable
Withdrawn
Conditions
Urinary Incontinence
Registration Number
NCT02746913
Lead Sponsor
NYU Langone Health
Brief Summary

The purpose of this study is to compare two methods for assessing patients with pelvic organ prolapse for occult stress urinary incontinence. Urodynamic testing is the most widely accepted and well-studied method for diagnosing occult stress urinary incontinence preoperatively, but an ambulatory pessary trial is a less expensive option that is available to a wider group of practitioners and evaluates patient while they are engaged in their daily activities.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria
  • Female
  • Patients planning to undergo pelvic organ prolapse surgery and preoperative urodynamic testing within 6 months of recruitment.
  • Stage 2 or greater pelvic organ prolapse on pre op POP-Q exam
  • Negative stress test on clinical exam
  • Cognitive capacity to complete questionnaires and voiding diary
Exclusion Criteria
  • Stress incontinence during provocative stress test on pre-operative exam.
  • Occult stress urinary incontinence demonstrated on pre-operative physical exam
  • Known ability to retain a pessary for the 3 day trial
  • < age 18
  • History of bladder augmentation or artificial sphincter
  • Known neurologic disease effecting bladder (spinal cord injury, Multiple Sclerosis, Parkinson's Disease, etc.)
  • Non ambulatory patients
  • Active infections of the vagina or pelvis (Pelvic inflammatory disease, infectious vaginitis, etc.)
  • Occult stress urinary incontinence demonstrated on pre-operative physical exam
  • Known ability to retain a pessary for the 3 day trial
  • < age 18
  • History of bladder augmentation or artificial sphincter
  • Known neurologic disease effecting bladder (spinal cord injury, Multiple Sclerosis, Parkinson's Disease, etc.)
  • Non ambulatory patients
  • Active infr

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Medical, Epidemiological, and social Aspects of Aging (MESA) questionnaire3 Days

leakage on a voiding diary.

Overactive bladder quality of life (QAB-Q)- short term questionnaire3 days
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

New York University Langone Medical Center

πŸ‡ΊπŸ‡Έ

New York, New York, United States

New York University Langone Medical Center
πŸ‡ΊπŸ‡ΈNew York, New York, United States

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

Β© 2025 MedPath, Inc. All rights reserved.