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Early Feasibility Study to Evaluate the Viveve System for Female Stress Urinary Incontinence: Interim 6-Month Report
Bruce B Allan1, Stacie Bell2, Kathryn Husarek2
1Allan Centre, Calgary, Canada.
This study shows cryogen-cooled, monopolar radiofrequency (CMRF) treatment significantly improves stress urinary incontinence (SUI) symptoms and quality of life. The non-surgical CMRF Viveve System was safe and well-tolerated in patients with SUI.
Area of Science:
- Urology
- Gynecology
- Medical Devices
Background:
- Stress urinary incontinence (SUI) affects many women, impacting quality of life.
- Current SUI treatments have limitations, necessitating novel approaches.
- Nonablative radiofrequency technology offers a potential new avenue for SUI management.
Purpose of the Study:
- To evaluate the efficacy and safety of cryogen-cooled, monopolar radiofrequency (CMRF) treatment for SUI.
- To assess patient-reported outcomes and objective measures following CMRF treatment.
- To determine the feasibility of CMRF as a non-surgical SUI therapy.
Main Methods:
- Prospective feasibility study involving two treatment groups (single vs. two CMRF sessions).
- Utilized 1-hour pad-weight tests (PWT) and validated questionnaires (UDI-6, IIQ-7, ICIQ-UI-SF).
- Included bladder voiding diaries and safety assessments over a 12-month follow-up period.
Main Results:
- Over 50% reduction in pad weight observed in 68.8% (Group 1) and 69.2% (Group 2) of subjects at 6 months.
- Significant improvements in SUI symptoms and quality of life reported.
- Fewer daily urine leakage episodes noted in bladder voiding diaries.
Conclusions:
- CMRF vaginal treatment demonstrates sustained efficacy and safety for SUI at 6 months.
- The Viveve System shows promise as a well-tolerated, non-surgical option for SUI.
- Further research is warranted to confirm long-term benefits and optimal treatment protocols.
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