Sacral Neuromodulation in Patients With Double Incontinence

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity Hospital Ostrava

About this trial

This is a prospective study evaluating the effect of a treatment method of sacral neuromodulation (SNM), the use of which is approved and recommended for the treatment of both faecal incontinence (FI) and urinary incontinence (UI). A new aspect of the study is monitoring the effect of SNM in patients with both types of incontinence (faecal and urinary) occurring simultaneously. The study will use diagnostic methods and procedures that are part of the usual examination algorithm. The study will not impose any burden on patients beyond the scope of routine examination and treatment procedures.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult women over 18 years of age

Consent to participate in the study

Willingness to undergo examination, treatment and follow-up according to the protocol

Grade III fecal incontinence (patient is unable to consciously hold in wind, loose or hard stools)

Disqualifiers

Rapidly progressing neurological diseases

Known severe congenital malformations of the anorectum and/or lower urinary tract

Presence of a foreign body in the urinary tract - urolithiasis, urinary catheter, ureteral stent

Pregnancy, lactation

Trial design

Design model

Single group

Treatments tested in this trial

  • Sacral neurostimulation

    Procedure/Surgery

    Sacral neurostimulation (SNS), or sacral neuromodulation (SNM), is a minimally invasive, reversible treatment for bladder and bowel control problems, including overactive bladder and fecal incontinence.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Sacral neuromodulationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Overall effect of SNM

Evaluation of the overall effect of SNM in patients with DI from the patient's perspective using the so-called "patients reported outcome measures" (PROM) with the Patient Global Impression - Improvement questionnaire will be performed.

Time frame
18 months

Secondary outcomes

1

The number of responders at the end of the test phase

The number of responders at the end of the test phase will be observed

Time frame
2 weeks for the patient, 4 years for the investigator
2

Bladder and bowel diary - the number of FI episodes

The number of FI episodes from the bladder and bowel diary will be observed for the monitored period of 3 and 7 days

Time frame
3 and 7 days
3

Bladder and bowel diary - the number of faecal urgency episodes

The number of faecal urgency episodes from the bladder and bowel diary will be observed for the monitored period of 3 and 7 days

Time frame
3 and 7 days
4

Bladder and bowel diary - the number of UI episodes

The number of UI episodes from the bladder and bowel diary will be observed for the monitored period of 3 and 7 days

Time frame
3 and 7 days

Other outcomes

Sponsors and contacts

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