About this trial
A prospective, single arm, non-randomized, multicenter, prospective case-series trial. The purpose of this trial is to demonstrate the safety and effectiveness of using the Adjustable Continence Therapy (ACT) to provide a clinically relevant improvement in stress urinary incontinence.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female at least 22 years old
Diagnosed with stress urinary incontinence with primary Intrinsic Sphincter Deficiency
Provocative pad weight of greater than 11.0 grams
Candidate for surgical intervention
Disqualifiers
Pregnant or lactating
Life expectancy of less than 5 years
Has uncontrolled diabetes as evidenced by HbA1c over 6.5% and fasting plasma glucose over 130 mg/dL
Has auto-immune disease
Trial design
Single group
Treatments tested in this trial
Adjustable Continence Therapy for Women (ACT)
DeviceTwo ACT devices are implanted in each patient. The devices are intended for implantation in the paraurethral space, with the balloons located on each side of the urethra near the bladder neck. The ports are placed subcutaneously in the labia majora. The balloons are filled after implantation with an isotonic solution via needle injection into the port. The ACT implant can be placed using local, spinal or general anesthesia with the surgical instruments (provided separately).
Treatment groups
Trial outcomes
Primary outcomes
Provocative pad weight
Change in provocative pad weight from baseline
Secondary outcomes
Urogenital Distress Inventory (UDI)
Six item questionnaire. Scores range from 0-100. 0 being not distressed, 100 being very distressed.
Incontinence Quality of Life Questionnaire (I-QOL)
Twenty-two item questionnaire. Scores range from 0-100. 0 being lowest quality of life, 100 being highest quality of life.
Other outcomes
Complete adverse event profile
Collection of patient safety information