Body ImagePFD-BINCT03591393
Pelvic Floor Dysfunction and Its Influence on Body Image and Sexual Function
A study testing questionnaire in people with Body Image and Urinary Incontinence, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
Trial summary
The first objective to determinate the prevalence of pelvic floor dysfunction in pregnant women and in the first year postpartum. The second objective is to assess the anatomical (both clinical and ultrasound), demographic and obstetric variables in symptomatic women and their association with pelvic floor… Read more about this study
- Who is it for?
- Ages 18 years and older, women onlyHealthy volunteers can take part
- Conditions the study is for
- Body Image, Urinary Incontinence, Anal Incontinence
- What is being tested?
- questionnaire
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 328 participants
- Where
- 1 siteBelgium
- Study dates
- 19 Jul 2018to 4 Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- age > or = 18 years
- dutch-speaking
- ongoing pregnancy before 14 weeks GA
- intending to deliver in UZ Leuven
- ICF
Who cannot join
- age < 18 years
- not dutch-speaking
- non evolutive pregnancy
- pregnancy over 14 weeks GA
- intention to deliver elsewhere
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Pelvic Floor Dysfunction and Its Influence on Body Image and Sexual Function - A Prospective Study Through Pregnancy and Post-partum
The first objective to determinate the prevalence of pelvic floor dysfunction in pregnant women and in the first year postpartum. The second objective is to assess the anatomical (both clinical and ultrasound), demographic and obstetric variables in symptomatic women and their association with pelvic floor dysfunction, sexual function and Body Image.
This is a single center prospective cohort study. Women will be asked to fill out a questionnaire at the time of their 1st and 3rd trimester scan, at the postpartum checkup and 12 months postpartum. Furthermore, they will undergo a pelvic floor ultrasound at the time of their first and third trimester scan.
Read more
The presence of pelvic floor dysfunctions will be recorded through validated self-administered questionnaires with five domains: Wexner questionnaire for anal incontinence, PAC-SYM for constipation, International Consultation on Incontinence Questionnaire Short Form for urinary incontinence, the Pelvic Organ Prolapse Distress Inventory for pelvic organ prolapse, POP/UI Sexual Questionnaire - IUGA revised for sexual function.
The body image perception will be assessed using the Dutch-validated version of the self-administered Body Image Disturbance Questionnaire.
The anatomy of the pelvic floor will be objectively assessed off line on 3D/4D transperineal ultrasound volumes and POP-Q examination. The demographic variables and information about the pregnancy and the delivery will be obtained from the medical records.
- Conditions
- Body Image, Urinary Incontinence, Anal Incontinence, Anorectal Disorder, Constipation, Pelvic Organ Prolapse
- Being tested
- questionnaire
- Medical subject headings
- Urinary Incontinence, Encopresis, Rectal Diseases, Constipation, Pelvic Organ Prolapse, Sexual Dysfunction, Physiological, Puerperal Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
questionnaireDiagnostic test
Also called pelvic floor ultrasound
Validated self-administered questionnaires with five domains: Wexner questionnaire for anal incontinence, PAC-SYM for constipation, International Consultation on Incontinence Questionnaire Short Form for urinary incontinence, the Pelvic Organ Prolapse Distress Inventory for pelvic organ prolapse, POP/UI Sexual Questionnaire - IUGA revised for sexual function.
The body image perception will be assessed using the Dutch-validated version of the self-administered Body Image Disturbance Questionnaire.
| Study group | Role | What they receive |
|---|---|---|
| Pregnant women | Experimental | * questionnaire at 1st and 3rd trimester, 10-12 weeks postpartum and 12 months postpartum
* pelvic floor ultrasound at 1st trimester and at 3rd trimester Receives: Diagnostic Test: questionnaire |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change Body Image during and after pregnancy
Body Image Disturbance Questionnaire Score: 7-item questionnaire, each item is scored on a 5-point Likert-scale (1=no disturbance at all; 5=extreme disturbance), the final score is the mean of the 7-item ordinal scores.
Measured: through study completion, an average of 18 months
Secondary outcomes (24)
Urethra mobility in cm
Transperineal ultrasound
Measured: 11-13 weeks gestation
Urethra mobility in cm
Transperineal ultrasound
Measured: 28-33 weeks gestation
genital hiatus in cm^2
Transperineal ultrasound
Measured: 11-13 weeks gestation
genital hiatus in cm^2
Transperineal ultrasound
Measured: 28-33 weeks gestation
levator ani avulsion
TUI sequence
Measured: 11-13 weeks gestation
levator ani avulsion
TUI sequence
Measured: 28-33 weeks gestation
anal sphincter injury
TUI sequence
Measured: 11-13 weeks gestation
anal sphincter injury
TUI sequence
Measured: 28-33 weeks gestation
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Measured: 11-13 weeks gestation
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Measured: 28-33 weeks gestation
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Measured: 3 months postpartum
Urinary Incontinence
International Consultation Incontinence Questionnaire - short form
Measured: 12 months postpartum
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Measured: 11-13 weeks gestation
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Measured: 28-33 weeks gestation
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Measured: 3 months postpartum
Anal Incontinence
wexner score: 5-items questionnaire measuring the frequency of complaints. Each item is scored 0-4 (0=never, 4=always). The final score is the sum of the scores of the 5 items (total score 0-20)
Measured: 12 months postpartum
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Measured: 11-13 weeks gestation
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Measured: 28-33 weeks gestation
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Measured: 3 months postpartum
Pelvic Organ Prolapse
Pelvic Organ Prolapse Distress Inventory
Measured: 12 months postpartum
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Measured: 11-13 weeks gestation
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Measured: 28-33 weeks gestation
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Measured: 3 months postpartum
Sexual function
POP/UI Sexual Questionnaire - IUGA revised
Measured: 12 months postpartum
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2018
- Study start19 Jul 2018
- Primary completion4 Jun 2024
- Study completion4 Jun 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Body ImageStudies of the same condition, open and under way.
- More trials run by Universitaire Ziekenhuizen KU LeuvenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 328 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universitaire Ziekenhuizen KU Leuven
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Jan Deprest, MD, PhD, Principal investigator, UZ Leuven
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03591393
- Sponsor's protocol ID
- S60939
- Acronym
- PFD-BI
- Status last verified
- Jul 2024
- First submitted
- 5 Jun 2018
- Last updated
- 3 Jul 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Lagaert L, Weyers S, Van Kerrebroeck H, Elaut E. Postpartum dyspareunia and sexual functioning: a prospective cohort study. Eur J Contracept Reprod Health Care. 2017 Jun;22(3):200-206. doi: 10.1080/13625187.2017.1315938. Epub 2017 Apr 27.
PubMed 28447919Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN; International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. doi: 10.1002/nau.20798.
PubMed 19941278Reimers C, Staer-Jensen J, Siafarikas F, Saltyte-Benth J, Bo K, Ellstrom Engh M. Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study. BJOG. 2016 Apr;123(5):821-9. doi: 10.1111/1471-0528.13432. Epub 2015 Jun 26.
PubMed 26113145Skouteris H, Carr R, Wertheim EH, Paxton SJ, Duncombe D. A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image. 2005 Dec;2(4):347-61. doi: 10.1016/j.bodyim.2005.09.002. Epub 2005 Nov 21.
PubMed 18089200Clark A, Skouteris H, Wertheim EH, Paxton SJ, Milgrom J. The relationship between depression and body dissatisfaction across pregnancy and the postpartum: a prospective study. J Health Psychol. 2009 Jan;14(1):27-35. doi: 10.1177/1359105308097940.
PubMed 19129334Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993 Jan;36(1):77-97. doi: 10.1007/BF02050307.
PubMed 8416784Frank L, Kleinman L, Farup C, Taylor L, Miner P Jr. Psychometric validation of a constipation symptom assessment questionnaire. Scand J Gastroenterol. 1999 Sep;34(9):870-7. doi: 10.1080/003655299750025327.
PubMed 10522604Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30. doi: 10.1002/nau.20041.
PubMed 15227649Utomo E, Blok BF, Steensma AB, Korfage IJ. Validation of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) in a Dutch population. Int Urogynecol J. 2014 Apr;25(4):531-44. doi: 10.1007/s00192-013-2263-z. Epub 2014 Jan 21.
PubMed 24445668Dietz HP. Pelvic floor ultrasound: a review. Am J Obstet Gynecol. 2010 Apr;202(4):321-34. doi: 10.1016/j.ajog.2009.08.018.
PubMed 20350640
Study at a glance
From the registry record, last updated by the sponsor on 3 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pelvic Floor Dysfunction and Its Influence on Body Image and Sexual Function - A Prospective Study Through Pregnancy and Post-partum
- ClinicalTrials.gov ID
- NCT03591393
- Acronym / sponsor ID
- PFD-BI / S60939
- Conditions
- Body Image, Urinary Incontinence, Anal Incontinence, Anorectal Disorder, Constipation, Pelvic Organ Prolapse
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 328 participants (actual)
- Lead sponsor
- Universitaire Ziekenhuizen KU LeuvenUniversity, hospital or other
- Study start
- 19 Jul 2018 (actual)
- Primary completion
- 4 Jun 2024 (actual)
- Study completion
- 4 Jun 2024 (actual)
- First posted
- 19 Jul 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The first objective to determinate the prevalence of pelvic floor dysfunction in pregnant women and in the first year postpartum. The second objective is to assess the anatomical (both clinical and ultrasound), demographic and obstetric variables in symptomatic women and their association with pelvic floor dysfunction, sexual function and Body Image.
This is a single center prospective cohort study. Women will be asked to fill out a questionnaire at the time of their 1st and 3rd trimester scan, at the postpartum checkup and 12 months postpartum. Furthermore, they will undergo a pelvic floor ultrasound at the time of their first and third trimester scan.
The presence of pelvic floor dysfunctions will be recorded through validated self-administered questionnaires with five domains: Wexner questionnaire for anal incontinence, PAC-SYM for constipation, International Consultation on Incontinence Questionnaire Short Form for urinary incontinence, the Pelvic Organ Prolapse Distress Inventory for pelvic organ prolapse, POP/UI Sexual Questionnaire - IUGA revised for sexual function.
The body image perception will be assessed using the Dutch-validated version of the self-administered Body Image Disturbance Questionnaire.
The anatomy of the pelvic floor will be objectively assessed off line on 3D/4D transperineal ultrasound volumes and POP-Q examination. The demographic variables and information about the pregnancy and the delivery will be obtained from the medical records.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pregnant women | Experimental | Diagnostic Test: questionnaire* questionnaire at 1st and 3rd trimester, 10-12 weeks postpartum and 12 months postpartum * pelvic floor ultrasound at 1st trimester and at 3rd trimester |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- age > or = 18 years
- dutch-speaking
- ongoing pregnancy before 14 weeks GA
- intending to deliver in UZ Leuven
- ICF
Key exclusion criteria (5 listed)
- age < 18 years
- not dutch-speaking
- non evolutive pregnancy
- pregnancy over 14 weeks GA
- intention to deliver elsewhere
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| questionnaireAlso: pelvic floor ultrasoundValidated self-administered questionnaires with five domains: Wexner questionnaire for anal incontinence, PAC-SYM for constipation, International Consultation on Incontinence Questionnaire Short Form for urinary incontinence, the Pelvic Organ Prolapse Distress Inventory for pelvic organ prolapse, POP/UI Sexual Questionnaire - IUGA revised for sexual function. The body image perception will be assessed using the Dutch-validated version of the self-administered Body Image Disturbance Questionnaire. | Diagnostic test | Pregnant women |
Primary outcome
Change Body Image during and after pregnancy
Time frame: through study completion, an average of 18 months
Body Image Disturbance Questionnaire Score: 7-item questionnaire, each item is scored on a 5-point Likert-scale (1=no disturbance at all; 5=extreme disturbance), the final score is the mean of the 7-item ordinal scores.
24 secondary outcomes
Urethra mobility in cm
Time frame: 11-13 weeks gestation
Urethra mobility in cm
Time frame: 28-33 weeks gestation
genital hiatus in cm^2
Time frame: 11-13 weeks gestation
genital hiatus in cm^2
Time frame: 28-33 weeks gestation
levator ani avulsion
Time frame: 11-13 weeks gestation
levator ani avulsion
Time frame: 28-33 weeks gestation
anal sphincter injury
Time frame: 11-13 weeks gestation
anal sphincter injury
Time frame: 28-33 weeks gestation
Urinary Incontinence
Time frame: 11-13 weeks gestation
Urinary Incontinence
Time frame: 28-33 weeks gestation
Urinary Incontinence
Time frame: 3 months postpartum
Urinary Incontinence
Time frame: 12 months postpartum
Anal Incontinence
Time frame: 11-13 weeks gestation
Anal Incontinence
Time frame: 28-33 weeks gestation
Anal Incontinence
Time frame: 3 months postpartum
Anal Incontinence
Time frame: 12 months postpartum
Pelvic Organ Prolapse
Time frame: 11-13 weeks gestation
Pelvic Organ Prolapse
Time frame: 28-33 weeks gestation
Pelvic Organ Prolapse
Time frame: 3 months postpartum
Pelvic Organ Prolapse
Time frame: 12 months postpartum
Sexual function
Time frame: 11-13 weeks gestation
Sexual function
Time frame: 28-33 weeks gestation
Sexual function
Time frame: 3 months postpartum
Sexual function
Time frame: 12 months postpartum
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jul 2024.
- Results publication: PubMed 28447919Lagaert L, Weyers S, Van Kerrebroeck H, Elaut E. Postpartum dyspareunia and sexual functioning: a prospective cohort study. Eur J Contracept Reprod Health Care. 2017 Jun;22(3):200-206. doi: 10.1080/13625187.2017.1315938. Epub 2017 Apr 27.
- Results publication: PubMed 19941278Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN; International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. doi: 10.1002/nau.20798.
- Results publication: PubMed 26113145Reimers C, Staer-Jensen J, Siafarikas F, Saltyte-Benth J, Bo K, Ellstrom Engh M. Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study. BJOG. 2016 Apr;123(5):821-9. doi: 10.1111/1471-0528.13432. Epub 2015 Jun 26.
- Results publication: PubMed 18089200Skouteris H, Carr R, Wertheim EH, Paxton SJ, Duncombe D. A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image. 2005 Dec;2(4):347-61. doi: 10.1016/j.bodyim.2005.09.002. Epub 2005 Nov 21.
- Results publication: PubMed 19129334Clark A, Skouteris H, Wertheim EH, Paxton SJ, Milgrom J. The relationship between depression and body dissatisfaction across pregnancy and the postpartum: a prospective study. J Health Psychol. 2009 Jan;14(1):27-35. doi: 10.1177/1359105308097940.
- Results publication: PubMed 8416784Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993 Jan;36(1):77-97. doi: 10.1007/BF02050307.
- Results publication: PubMed 10522604Frank L, Kleinman L, Farup C, Taylor L, Miner P Jr. Psychometric validation of a constipation symptom assessment questionnaire. Scand J Gastroenterol. 1999 Sep;34(9):870-7. doi: 10.1080/003655299750025327.
- Results publication: PubMed 15227649Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30. doi: 10.1002/nau.20041.
- Results publication: PubMed 24445668Utomo E, Blok BF, Steensma AB, Korfage IJ. Validation of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7) in a Dutch population. Int Urogynecol J. 2014 Apr;25(4):531-44. doi: 10.1007/s00192-013-2263-z. Epub 2014 Jan 21.
- Results publication: PubMed 20350640Dietz HP. Pelvic floor ultrasound: a review. Am J Obstet Gynecol. 2010 Apr;202(4):321-34. doi: 10.1016/j.ajog.2009.08.018.
- Individual participant dataSharing planned: Undecided
Related trials for Body Image
Not yet recruiting
Brief Single-Session Body Neutrality Program for LGBTQ+ Adults in Central Alabama
Body Image
Active, not recruitingPhase 2
Efficacy of Dose Intensified Radiotherapy of Spinal Metastases by Hypofractionated Radiation and IGRT hfSRT Mediated Boost
Spinal Metastases
Not yet recruiting
Expand Your Horizon-Spanish
Body Image, Body Image Dissatisfaction
Active, not recruiting
Dance Study for Post-surgical Pain in Breast Cancer Survivors
Breast Cancer, Survivorship
Recruiting
The Effects of Weight and Nutrition Education on Weight Control Beliefs, Body Image, Self-Esteem and Eating Patterns in Undergraduate Dieters
Dietary Restraint
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jan Deprest, MD, PhD principal investigator
UZ Leuven
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing questionnaire in people with Body Image and Urinary Incontinence, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change Body Image during and after pregnancy (time frame: through study completion, an average of 18 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03591393, which also lists 10 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jul 2024.