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Stress Urinary IncontinenceNCT07095283

Second-generation Radiofrequency Application and Therapeutic Exercise for Stress Urinary Incontinence

A study testing Short International Consultation on Incontinence Questionnaire (ICIQ-SF), King's Health Questionnaire (KHQ) and Ultrasound evaluation in people with Stress Urinary Incontinence, run by Cardenal Herrera University at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Stress urinary incontinence (SUI) is defined as the loss of the ability to hold urine after exertion, i.e., as a result of imbalances in intra-abdominal pressure, which directly affect the lower urinary tract. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Stress Urinary Incontinence
What is being tested?
Short International Consultation on Incontinence Questionnaire (ICIQ-SF), King's Health Questionnaire (KHQ) and Ultrasound evaluation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
239 participants
Where
1 siteSpain
Study dates
1 Aug 2025to 30 Sep 2025
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women over the age of 18 who meet the International Continence Society (ICS)
  • diagnostic criteria for SUI, which consists of involuntary leakage of urine during increased intra-abdominal pressure in the absence of bladder contractions such as coughing, sneezing, and other physical activities.

Who cannot join

  • diagnosis of urgent or mixed UI
  • diagnosis of pelvic organ prolapse
  • taking any treatment for UI
  • pregnancy
  • history of pelvic surgery, urinary tract infection, or diagnosed psychological disorders
  • presence of scars, malformations, abnormal pelvic masses, tissue irritation, or any other condition in the area that could be causing pelvic and urinary function problems

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Ceu Cardenal Herrera University

    Elche, Alicante, 03204

Other trials in Spain

About this study

Official title: Second-generation Radiofrequency Application and Specific Therapeutic Exercise as a Treatment for Stress Urinary Incontinence Due to Urethral Instability. Randomised Clinical Trial

Stress urinary incontinence (SUI) is defined as the loss of the ability to hold urine after exertion, i.e., as a result of imbalances in intra-abdominal pressure, which directly affect the lower urinary tract. SUI has been shown to have a significant impact on the quality of life of those affected, impacting physical, social, and psycho-emotional aspects. Among the proposed treatments is a physiotherapeutic approach, which is offered as a less invasive and painless therapy with fewer adverse effects than pharmacological or surgical treatment. Pelvic floor muscle training (PFMT) is the most effective physiotherapeutic treatment for SUI, increasing the contractile capacity of the muscles and restoring stability throughout the pelvic diaphragm, thereby ensuring proper support of the pelvic organs. Radiofrequency (RF) therapy is currently being proposed as a therapeutic option that may offer certain advantages over those reported for photoplethysmography (PPMT). The potential benefits of RF therapy are attributed to its ability to stimulate collagen metabolism, thereby promoting tissue regeneration. Radiofrequency (RF) is a non-invasive and painless method that has the potential to yield analogous results to pelvic physical therapy (PPMT) as a standalone treatment or enhance the efficacy of PPMT when administered in conjunction with RF for stress urinary incontinence (SUI).

The objective of the present study is to analyse the effectiveness of PFMT and RF as single or combined treatments for SUI in women at Clínica Traña, a clinic specialising in the treatment of pelvic floor dysfunction in Costa Rica. Following the process of obtaining informed consent, patients will be offered a single or combined treatment of RF and/or PFMT. The strength of the pelvic floor muscles, pelvic function and the impact of pelvic dysfunctions on quality of life will be evaluated with a one-year follow-up after the conclusion of treatment.

Read more

The project possesses the facilities, equipment, and personnel necessary to ensure its viability, as well as proven clinical experience.

The scientific and technical impact of the proposed treatment protocol will be achieved by establishing an effective therapeutic strategy to address SUI. The social impact of SUI is significant, given its high prevalence and the fact that it has physical consequences as well as a negative impact on the social activities, work functions and emotions of women who suffer from it.

Being tested
Short International Consultation on Incontinence Questionnaire (ICIQ-SF), King's Health Questionnaire (KHQ), Ultrasound evaluation, Sandvik Severity Index, Oxford's scale
Keywords
urethral instability, radiofrequency, physical exercise, functional ultrasound, quality of life
Medical subject headings
Urinary Incontinence, Stress, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Short International Consultation on Incontinence Questionnaire (ICIQ-SF)Diagnostic test

    This is a self-administered questionnaire with four questions and a total score ranging from 0 [best] to 21 [worst] that identifies people with urinary incontinence and its impact on quality of life.

  • King's Health Questionnaire (KHQ)Diagnostic test

    The KHQ is a self-administered instrument specifically designed to assess quality of life in women with UI. It consists of 21 items distributed across 9 dimensions: perception of overall health (1 item), impact of UI (1 item), limitations in daily activities (2 items), physical limitations (2 items), social limitations (2 items), personal relationships (3 items), emotions (3 items), sleep/energy (2 items), and severity of UI (5 items). The score range for each dimension is from 0 (lowest impact of UI and therefore best quality of life) to 100 (highest impact, worst quality of life). This questionnaire provides an overall value for the quality of life of the patient with UI (Overall Score-OS) and another specific value for each dimension on a scale with the following range: 0: Best possible quality of life - 100: Worst possible quality of life.

  • Ultrasound evaluationDiagnostic test

    A two-dimensional (2D) ultrasound system with B-mode capability and cine-loop function, a 3.5 to 6 MHz curved convex probe transducer, was used for the perineal image. The examination will be performed in the dorsal lithotomy position, with the hips flexed and slightly abducted and the heels placed close to the buttocks, or in a standing position if necessary.

  • Sandvik Severity IndexDiagnostic test

    It allows the severity of UI to be determined based on two questions. Interpretation based on the score is classified as follows: 1-2 mild UI, 3-6 moderate UI, 8-9 severe UI, 12 very severe UI.

  • Oxford's scaleDiagnostic test

    The strength of the Pelvic floor muscles will be evaluated digitally using functional ultrasound and classified according to the Oxford scale.

  • BiofeedbackDiagnostic test

    Also called Muscular and static strength; Fatigability or Dynamic Endurance

    Muscular (mmHg) and static strength (seconds); Fatigability or Dynamic Endurance (% and cmH₂O)

Study groups in NCT07095283
Study groupRoleWhat they receive
RF TherapyExperimentalParticipants will be placed in the lithotomy position. The treatment temperature will be set at 41°C, with a frequency of 1 MHz and power of 75 kJ. Once the indicated temperature has been reached, the physical therapist will perform small upward and downward movements along the urethral canal, dividing the time equally between both sides. One RF session will be performed every 7 days, as described by the author, for a total of 5 sessions. We divided the subjects into mild SUI (1-2 points in the Sandvik test); moderate SUI (Sandvik test of 3 to 6 points), severe SUI (8-9 points Sandvik test); and very severe SUI (12 points in Sandvik test).
Receives: Diagnostic Test: Short International Consultation on Incontinence Questionnaire (ICIQ-SF); Diagnostic Test: King's Health Questionnaire (KHQ); Diagnostic Test: Ultrasound evaluation; Diagnostic Test: Sandvik Severity Index; Diagnostic Test: Oxford's scale; Diagnostic Test: Biofeedback
Pelvic floor muscle training (PFMT)ExperimentalThe PFMT will consist of a targeted program with a protocol of core and pelvic floor exercises established based on an assessment of the patients' strength, endurance, and fatigue, with a frequency of twice a week led by a physical therapist and a duration of 45 minutes each day for a period of 16 weeks. It will be carried out in groups of 8 people and accompanied by a physical therapist experienced in therapeutic exercise. We divided the subjects into mild SUI (1-2 points in the Sandvik test); moderate SUI (Sandvik test of 3 to 6 points), severe SUI (8-9 points Sandvik test); and very severe SUI (12 points in Sandvik test).
Receives: Diagnostic Test: Short International Consultation on Incontinence Questionnaire (ICIQ-SF); Diagnostic Test: King's Health Questionnaire (KHQ); Diagnostic Test: Ultrasound evaluation; Diagnostic Test: Sandvik Severity Index; Diagnostic Test: Oxford's scale; Diagnostic Test: Biofeedback
combination of RF Therapy and PFMTExperimentalWe divided the subjects into mild SUI (1-2 points in the Sandvik test); moderate SUI (Sandvik test of 3 to 6 points), severe SUI (8-9 points Sandvik test); and very severe SUI (12 points in Sandvik test).
Receives: Diagnostic Test: Short International Consultation on Incontinence Questionnaire (ICIQ-SF); Diagnostic Test: King's Health Questionnaire (KHQ); Diagnostic Test: Ultrasound evaluation; Diagnostic Test: Sandvik Severity Index; Diagnostic Test: Oxford's scale; Diagnostic Test: Biofeedback

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. International Consultation on Incontinence Questionnaire (ICIQ-SF)

    0 to 21 points, where higher scores indicate greater impact of incontinence

    Measured: Pre - post intervention; after 3,6,12 months

  2. King´s Health Questionnaire (KHQ)

    0 to 100, where 0 indicates the best quality of life and 100 the worst

    Measured: Pre - post intervention; after 3,6,12 months

  3. ultrasound analysis: Resting aperture (Ar)

    degrees

    Measured: Pre - post intervention; after 3,6,12 months

  4. ultrasound analysis: Opening during exertion (Ae)

    degrees

    Measured: Pre - post intervention; after 3,6,12 months

  5. Opening difference (Ae-Ar)

    degrees

    Measured: Pre - post intervention; after 3,6,12 months

  6. MUSCULAR STRENGTH

    defined as the ability of tissue to generate tension based on its contractile capacity, being the best of three attempts to contract, assessed using the modified OXFORD scale

    Measured: Pre - post intervention; after 3,6,12 months

  7. Function of the pelvic floor muscles

    The best of the three attempts is selected, graded as follows: 0 = no contraction, 1 = partial contraction, 2 = contraction of the pelvic floor muscles + contraction of related muscles, 3 = isolated contraction of the Pelvic floor muscles

    Measured: Pre - post intervention; after 3,6,12 months

  8. STATIC MUSCLE STRENGTH

    the ability to maintain optimal contraction (isometric, tonic fibers) for as long as possible, measuring the seconds until fatigue sets in. ORDER: "contract and hold," taking the average of the three assessments.

    Measured: Pre - post intervention; after 3,6,12 months

  9. Fatigability or Dynamic Endurance

    maximum number of contractions in a unit of time, taking 10 seconds as the average. ORDER: "contract as many times as possible and at the highest speed," with the measurement being the average of the three assessments.

    Measured: Pre - post intervention; after 3,6,12 months

  10. Oxford's Scale

    allows the contractile capacity of the pelvic floor muscles to be assessed. It scores from 0 to 5, as follows: if there is no contraction, it is scored as 0; if the contraction is very weak, it is scored as 1; if the contraction is weak, it is scored as 2; if the contraction is moderate/with tension/and sustained, it is scored as 3; if the contraction is good and maintains tension with resistance, it is scored as 4; and if the contraction is strong and maintains tension against a resistant force, it is scored as 5.

    Measured: Pre - post intervention; after 3,6,12 months

  11. Sandvik Severity Index

    It allows the severity of UI to be determined based on two questions. Interpretation based on the score is classified as follows: 1-2 mild UI, 3-6 moderate UI, 8-9 severe UI, 12 very severe UI.

    Measured: Pre - post intervention; after 3,6,12 months

Secondary outcomes (11)
  1. age (years)

    Measured: baseline

  2. BMI (Body mass index)

    kg / m²

    Measured: baseline

  3. smoke

    yes/no

    Measured: baseline

  4. alcohol consumption

    yes/no

    Measured: baseline

  5. drug use

    yes/no

    Measured: baseline

  6. full-term pregnancies

    Number

    Measured: baseline

  7. natural childbirth

    yes/no

    Measured: baseline

  8. cesarean sections

    yes/no

    Measured: baseline

  9. tear

    yes/no

    Measured: baseline

  10. abortion

    yes/no

    Measured: baseline

  11. episiotomy

    yes/no

    Measured: baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2025
  2. Study start1 Aug 2025
  3. Primary completion20 Aug 2025
  4. Study completion30 Sep 2025

Resources

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
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
Single blind
Who is masked
Investigator
Enrolment
239 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07095283
Sponsor's protocol ID
CEEI25/646
Status last verified
Oct 2026
First submitted
24 Jul 2025
Last updated
20 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data associated with this paper will be available in the Zenodo repository

Publications

  • Trana-Serrano JP, Orts-Ruiz C, Montero-Navarro S, Zamora-Streber A, Ramirez Rivera MJ, Garita Redondo O, Molina-Paya FJ, Fluxa-Juan L, Sanchez-Mas J, Salar-Andreu C. Second-Generation Radiofrequency and Targeted Therapeutic Exercise for Stress Urinary Incontinence Due to Urethral Hypermobility: A Study Protocol. Healthcare (Basel). 2026 Jun 9;14(12):1616. doi: 10.3390/healthcare14121616.

    PubMed 42354475

Questions about this trial

What is this clinical trial studying?

A study testing Short International Consultation on Incontinence Questionnaire (ICIQ-SF), King's Health Questionnaire (KHQ) and Ultrasound evaluation in people with Stress Urinary Incontinence, run by Cardenal Herrera University at 1 site in Spain.

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 2 inclusion and 6 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 20 Oct 2026. 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 Spain. 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?

International Consultation on Incontinence Questionnaire (ICIQ-SF) (time frame: Pre - post intervention; after 3,6,12 months). The study lists 11 primary outcomes in all. 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 NCT07095283, which also lists 1 linked publication.

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 20 Oct 2026.

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