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Combined Treatment for Mixed Incontinence


Effects of Surgical Treatment Enhanced With Exercise for Mixed Urinary Incontinence (ESTEEM)




The overarching goal of this randomized trial is to estimate the effect of combined midurethral sling (MUS) and peri-operative behavioral/pelvic floor therapy (BPTx) compared to MUS alone on successful treatment of MUI symptoms in 472 women. Secondary objectives include estimating the effect of combined treatment compared to MUS on improving overactive bladder (OAB) and stress urinary incontinence (SUI) outcomes separately, need for additional treatment, time to failure and identifying predictors of poor outcomes in this MUI population.

Study Status: Recruiting

Ly Pung, RN, BSN 216-445-5505

Condition Intervention Phase
Mixed Urinary Incontinence Procedure: Miduretheral Sling
Other: Miduretheral Sling combined with peri-operative behavioral/pelvic floor therapy
Phase 3

Verified by NICHD Pelvic Floor Disorders Network October, 2013

Sponsored by: NICHD Pelvic Floor Disorders Network
Information provided by: NICHD Pelvic Floor Disorders Network identifier: NCT01959347

Study Type: Interventional

Study Design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Treatment

Cleveland Clinic, Department OB/GYN
Cleveland, Ohio 44195
United States

Vivian W. Sung., Principal Investigator
Dennis Wallace., Principal Investigator

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