Prospective and Comparative Evaluation of a Medical Device Composed of a Perineal Probe Connected to a Mobile Application in the Management of Stress Urinary Incontinence. (PRIME)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Two groups will be studied:
- the control group will undergo 15 sessions of pelvic-perineal rehabilitation, corresponding to the gold standard.
- the intervention group will use the medical device 3 times a week for 15 minutes over a 3-month period, in addition to 2 rehabilitation sessions. The participant will then be able to modify her program according to her symptoms.
Recruitment will be carried out with the help of healthcare professionals. The investigators involved in the study will be physiotherapists specializing in pelvic-perineal rehabilitation.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Thibault THUBERT, PHD
- Phone Number: 02.53.48.24.43
- Email: thibault.thubert@chu-nantes.fr
Study Contact Backup
- Name: Selma EL ANDALOUSSI, manager
- Phone Number: 02.53.48.28.52
- Email: selma.elandaloussi@chu-nantes.fr
Study Locations
-
-
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Nantes, France, 44093
- Recruiting
- CHU de Nantes
-
Contact:
- Thibault THUBERT
- Phone Number: 0253482443
- Email: thibault.thubert@chu-nantes.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with moderate, severe or very severe stress urinary incontinence or mixed stress urinary incontinence (according to ICIQ-UI SF questionnaire score: moderate (6-12), severe (13-18) and very severe (19-21))
- Patient aged between 18 and 60
- Patient with a quality of life score measured with the I-QoL questionnaire less than or equal to 70 (score measured from 0 to 100, with poor quality of life: 0-35; average quality of life: 36-70; good quality of life: 71-100)
- Not to have given birth in the last 6 months (to avoid post-partum physiological recovery)
- Signed informed consent
- Effective contraception throughout the study (declarative)
- Patient must have a smartphone running at least Android 7 and iOS 12
- Patient must be able to read and write French
Exclusion Criteria:
- Patients with mild stress urinary incontinence or mixed stress urinary incontinence (ICIQ-UI SF score: mild (1-5))
- Patient with a quality of life score above 70 (according to the I-QoL questionnaire: good quality of life: 71-100)
- Patient undergoing other pelvic-perineal rehabilitation during the study period
- Patients with neurological disease or congenital malformation, surgically or medically treated urinary incontinence or prolapse, perineal hypoesthesia or local conditions prohibiting the use of an intravaginal catheter
- Infection of the bladder or vagina, or any symptoms associated with infection (itching, pain on urination or fever)
- Contraindications to the use of the medical device
- Anatomy making catheter placement difficult or impossible; in the case of prolapse, specialist advice is recommended.
- Hemorrhage
- Patients with genitourinary cancer (within the last 5 years)
- Patients with extra-urethral "incontinence" (fistula, ectopic ureter)
- Patients with severe urinary retention
- Patient with vesico-ureteral reflux
- Patients with hypoactive bladder
- In case of peripheral denervation in the pelvic-perineal area, specialist advice is recommended
- Patients wearing a sacral neuromodulation device
- Patients in an exclusion period (determined by a previous or current study)
- Impossibility of giving the subject clear information (subject in an emergency situation, difficulties in understanding the subject, etc.)
- Patient under court protection
- Patient under guardianship or curatorship
- Pregnancy (positive pregnancy test)
- Breastfeeding (as the hormonal impregnation caused by breastfeeding has a negative impact on perineal tone)
- Use of Huawei and Oppo smartphones
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: EMY (connected biofeedback medical device)
2 rehabilitation between M0 and M2 and pelvic-perineal exercises with the EMY device on 3 different days a week, for 15 minutes, over a period of 3 months.
|
Patients in the "intervention" group (rehabilitation with the EMY medical device) will undergo 2 rehabilitation sessions with a physiotherapist trained in pelviperineology between M0 and M2.
The aim of these sessions will be to learn proper perineal contraction and combat the deficits identified during the physiotherapist's assessment.
They will have to perform pelvic-perineal re-education exercises with the EMY device on 3 different days a week, for 15 minutes, over a period of 3 months.
Then, for a further 3 months, their program can be modified for free, on-demand use (e.g. 2 x 10 minutes per week).
After the main criterion at M6, they will be free to modify their rehabilitation program in the application according to their symptoms, and follow their program until the end of the study
Other Names:
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No Intervention: standard
15 sessions of pelvic floor rehabilitation (gold standard)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Urinary symptoms using the ICIQ-UI SF questionnaire
Time Frame: 6 months
|
The non-inferiority of 2 sessions of pelvic floor rehabilitation associated with the use of the EMY medical device compared with 15 sessions of pelvic floor rehabilitation (gold standard) on the urinary symptoms score at 6 months will be assessed using the ICIQ-UI SF questionnaire.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality of life using the I-QoL questionnaire
Time Frame: 0 month, 1 month, 3 months, 6 months, 12 months
|
changes in quality of life will be studied using the validated I - QoL questionnaire
|
0 month, 1 month, 3 months, 6 months, 12 months
|
|
Urinary symptoms using the ICIQ-UI SF questionnaire
Time Frame: 0 month, 1 month, 3 months, 12 months
|
changes in urinary symptoms will be studied using the validated ICIQ-UI SF questionnaire
|
0 month, 1 month, 3 months, 12 months
|
|
Cost-utility ratio using the EQ-5D questionnaire
Time Frame: 0 month, 1 month, 3 months, 6 months, 12 months
|
The cost/utility ratio will be studied using the cost/QALY ratio.
The costs will relate to the consumption of reimbursed or non-reimbursed care (medical and paramedical consultations, hospitalization, drug treatment, absorbent pads, pessaries, etc.).
QALYs will be estimated on the basis of responses to the validated EQ-5D 5L questionnaire.
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0 month, 1 month, 3 months, 6 months, 12 months
|
|
Qualitative component
Time Frame: 1 month, 3 months, 6 months, 12 months
|
the qualitative component will consist of questionnaires evaluating :
|
1 month, 3 months, 6 months, 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Urinary Incontinence
Other Study ID Numbers
Other Study ID Numbers
- RC24_0097
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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