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Trial registered on ANZCTR
Registration number
ACTRN12611000861954
Ethics application status
Approved
Date submitted
11/07/2011
Date registered
15/08/2011
Date last updated
5/10/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
A prospective randomised controlled trial comparing pelvic floor treatment by a pelvic floor physiotherapist, versus extracorporeal magnetic stimulation, for women with stress urinary incontinence.
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Scientific title
A prospective randomised controlled trial comparing pelvic floor treatment by a pelvic floor physiotherapist, versus extracorporeal magnetic stimulation, for pelvic floor strength, quality of life and severity of urinary incontinence, in patients with stress urinary incontinence
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Secondary ID [1]
260049
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stress urinary incontinence
265711
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Condition category
Condition code
Physical Medicine / Rehabilitation
265851
265851
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0
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Physiotherapy
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Renal and Urogenital
268436
268436
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Five individual treatment sessions by a pelvic floor physiotherapist including a tailored pelvic floor exercise program. The initial session will last one hour, while subsequent visits will be half an hour duration over a thjree month period.
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Intervention code [1]
264467
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Treatment: Other
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Comparator / control treatment
Twenty treatments on a extracorporeal magnetic stimulator. These sessions may be two or three times per week, within a three month window. This involves the patient sitting on a neotonus chair, each visit lasting aproximately 25 minutes. Treatment consists of sitting on the chair and for 10 minutes receiving a 35 Hz current, followed by a 2-3 minute rest period, then a second period of stimulation of 10 Hz current for 10 minutes. Women will also be required to do pelvic floor exercises at home. They are provided with brief instruction on pelvic floor exercises and provided with a leaflet at there initial treatment session by a nurse continence advisor.
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Control group
Active
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Outcomes
Primary outcome [1]
266612
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24 hour pad test
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Assessment method [1]
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Timepoint [1]
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At the beginning of trial (at commencement of treatment), at four months (at completion of treatment) and again at six months.
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Primary outcome [2]
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Pelvic floor muscle grading (using Modified Oxford scale) via a vaginal examiantion
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Assessment method [2]
266613
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Timepoint [2]
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At the beginning of the trial and at four months.
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Secondary outcome [1]
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Quality of life score (ICIQ-SF)
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Assessment method [1]
276094
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Timepoint [1]
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At the beginning of the trial, at four months and again at six months.
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Secondary outcome [2]
276095
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Cost of treatment will be calculated by adding up the estimated cost of five physiotherapy treatment versus twenty chair sessions
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Assessment method [2]
276095
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Timepoint [2]
276095
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At completion of trial
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Eligibility
Key inclusion criteria
Women with a primary symptoms of stress urinary incontinence
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
People whose primary language is other than English
Women who are pregnant
Children/ young people (ie. under18 years)
People with an intellectual or mental impairment
People highly dependant on medical care
People with metal prosthesis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Women with a predominate symptom of stress urinary incontinence will be given a brief outline by the referring doctor and asked if they are happy to be contacted regarding participation in a study.
If the patient consents they will be contacted by the research cordinator (myself) and given a more detailed outline of the study. If the patient agrees they are then given an appointment to meet and discuss the study, provided with written material, and formal consent is obtained.
Women are then randomised using a computer generated randomisation code.
At this initial appointment, women will be assessed by the Urogynecology staff specialist.
Prior to starting treatment they are also given a 24 hour pad test, ICIQ questionaire and 3 day bladder chart to complete.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated envelopes
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/10/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
38
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
267323
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Self funded/Unfunded
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Name [1]
267323
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Address [1]
267323
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Country [1]
267323
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Primary sponsor type
Hospital
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Name
St George Hospital
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Address
Pelvic Floor Unit
St George Hospital
Gray St
Kogarah NSW 2217
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Country
Australia
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Secondary sponsor category [1]
266389
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Individual
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Name [1]
266389
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Wendy Hayes
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Address [1]
266389
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Pelvic Floor Unit
St George Hospital
Gray St
Kogarah NSW 2217
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Country [1]
266389
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269309
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Human Research Ethics Commitee
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Ethics committee address [1]
269309
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Central Netwoork St George Hospital Gray St Kogarah NSW 2217
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Ethics committee country [1]
269309
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Australia
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Date submitted for ethics approval [1]
269309
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Approval date [1]
269309
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12/09/2009
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Ethics approval number [1]
269309
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HREC/09/STG/52
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Summary
Brief summary
The purpose of this study is two compare the benefit of two different treatments for patients with stress urinary incontinence. This is a condition in which women may leak urine with increases in abdominal pressure, such as coughing, sneezing, lifting, walking or running. The first treatment is five individual physiotherapy sessions. The second treatment is 20 sessions on a special magnetic chair. Patients are assessed prior to starting treatment, at three months after competing treatment, and again at six months.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
32527
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Address
32527
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Country
32527
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Phone
32527
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Fax
32527
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Email
32527
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Contact person for public queries
Name
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Janette O'Toole
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Address
15774
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Pelvic Floor Unit
St George Hospital
Gray St
Kogarah NSW 2217
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Country
15774
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Australia
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Phone
15774
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+61 2 91132272
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Fax
15774
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Email
15774
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[email protected]
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Contact person for scientific queries
Name
6702
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Janette O'Toole
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Address
6702
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Pelvic Floor Unit
St George Hospital
Gray St
Kogarah NSW 2217
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Country
6702
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Australia
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Phone
6702
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+61 2 91132272
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Fax
6702
0
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Email
6702
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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