Rectal Balloon Training in Female Urinary Incontinence

Chulalongkorn University28 enrolled

Overview

Urinary incontinence (UI) is a common and worldwide problem.Although pelvic floor muscle training(PFMT) is the standard recommendation for conservative treatment but some patients had difficulty doing PFMT. They could not locate the pelvic floor muscles, and so could not perform the PFMT properly or increase intensity of the exercise. The authors hypothesized that rectal balloon training(RBT) may improve patients' pelvic floor recognition as well as it is another option of progressive strengthening of pelvic floor muscle. This study's aim is to combine RBT with PFMT using the water-filled balloons of Foley catheters

This study's aim is to combine RBT with PFMT using the water-filled balloons of Foley catheters. The catheter would be inserted into the rectum and used as a tool to help the patient recognize the pelvic floor muscles. The advantages of Foley catheters are that they are cheap, safe for contacting the mucosa, easy for self-insertion, and can be reused. Furthermore, we can increase the load of exercise by increasing the amount of water pushing into the balloon, and can use that as a tool for progressive resistive exercise.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Urinary Incontinence

Interventions

Rectal Balloon TrainingOTHER

Subjects in combined RBT and PFMT group are taught for foley catheter insertion technique. The catheter is inserted into the rectum until the lower end of the balloon is 1 cm inside from the anus. Then the balloon is blown with clean water starting at 10 cc. Then the volume is progress to 15 cc in 3rd week and 20 cc in 5th week

Pelvic floor muscle training (PFMT)OTHER

Standard pelvic floor muscle exercise (Pelvic floor muscle training;PFMT) is assigned for 6 weeks.

Eligibility

Sex: FEMALEMin age: 25 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Female * Age 25 - 70 years * Have urinary incontinence problem * Follow command * Informed consent Exclusion Criteria: * Previous surgical correction of UI * Use medications for treating overactive bladder symptoms * Impaired recent and/or recall memory * Brain and/or Spinal cord lesion * Untreated Urinary tract infection * Anal lesion which contradicted for inserting instrument * Prolapsed rectum * Prolapsed uterus * History of pelvic injury * Pregnancy

Outcomes

Primary Outcomes

Pelvic floor muscle strength

Pelvic floor muscle strength will be assessed by biofeedback and recorded in unit of mmHg.

Time frame: Change from baseline in pelvic floor muscle strength at 6 weeks

Secondary Outcomes

Clinical symptoms

Clinical symptoms are assessed from questionaire and one-hour pad test

Time frame: At the first time then 6 weeks later

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.