Bladder training could be as good as pelvic floor therapy for urgency incontinence
NCT ID NCT07259148
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a simple behavioral program—like timed bathroom visits and avoiding bladder irritants—works as well as supervised pelvic floor muscle training when both are combined with standard medication for urgency urinary incontinence. Eighty women with this condition will be randomly assigned to one of the two approaches for 8 weeks. The goal is to see if the behavioral option, which is easier to access in low-resource settings, is not inferior to pelvic floor training in reducing incontinence symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Oxybutynin / Mirabegron
- What this could lead to
- If behavioral therapy works as well as pelvic floor training, it could offer a simpler, low-cost option for women with urgency incontinence, especially in areas with limited access to specialized physiotherapy.
- What could go wrong
- This is a small, early-stage trial with only 80 participants, so results may not apply to all women. The behavioral approach might not be as effective as pelvic floor training, and side effects from medication are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Apr 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * Women aged ≥18 years. * Symptoms of urgency urinary incontinence (UUI) or mixed urinary incontinence with predominance of urgency, with duration ≥3 months. * Clinical diagnosis of UUI based on history, physical examination, and a 3-day bladder diary. * Predominance of urgency defined as: at least 50% of total recorded episodes in the bladder diary correspond to urgency (with or without leakage). * Baseline ICIQ-SF score ≥6. * Ability to attend scheduled visits and comply with assigned intervention. * Signed informed consent. Exclusion Criteria: * Pure stress urinary incontinence. * Mixed urinary incontinence with predominance of stress defined as: more than 70% of episodes in the 3-day bladder diary are triggered by physical effort. * Symptomatic advanced pelvic organ prolapse (POP-Q stage ≥III). * Active or recent urinary tract infection (within the last 7 days). * Prior use of anticholinergics or β3-agonists that cannot be discontinued for a 14-day washout period. * Pregnancy or breastfeeding. * Neurological or psychiatric disorders affecting bladder function, record-keeping, or adherence. * Cognitive or functional difficulty preventing understanding or completion of study procedures.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hospital Militar Escuela Dr. Alejandro Dávila Bolaños
Managua, Managua Department, Nicaragua
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Other studies related to the condition(s) this trial covers.
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