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Safety and Efficacy of a Disposable Vaginal Device for Stress Urinary Incontinence
Omar Felipe Duenas-Garcia1, Robert Edward Shapiro1, Peter Gaccione2
1From the Department of Obstetrics and Gynecology, West Virginia University Medical School, Morgantown, WV.
Female Pelvic Medicine & Reconstructive Surgery
|May 27, 2020
Summary
This study shows an over-the-counter pessary device significantly reduces stress urinary incontinence (SUI) symptoms in women. The device offers a safe, effective, and accessible treatment option for managing SUI.
Area of Science:
- Urology
- Gynecology
- Medical Devices
Background:
- Stress urinary incontinence (SUI) significantly impacts women's quality of life.
- Existing SUI treatments may be invasive or require prescription access.
- There is a need for accessible, non-prescription SUI management options.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel over-the-counter (OTC) self-inserted pessary device for treating female SUI.
- To assess the device's impact on leakage episodes, pad weight, and quality of life.
Main Methods:
- A multicenter, single-arm, interventional study was conducted.
- Participants diagnosed with symptomatic SUI used the self-inserted pessary device for 2 weeks after a 1-week baseline.
- Primary outcomes included reduction in leakage events and pad weight by at least 50%.
Main Results:
- The device significantly reduced daily leakage episodes from 2 to 0.9 (P < 0.0001).
- Average pad weight gain decreased from 0.9 g/h to 0.5 g/h.
- 71% of participants experienced >50% reduction in leakage, and quality of life scores improved (P < 0.0001).
- The device demonstrated a favorable safety profile with minimal adverse events.
Conclusions:
- The OTC self-deployable pessary device is a viable alternative for women managing SUI symptoms.
- This device offers an accessible, non-prescription solution for stress urinary incontinence.
- Further research is warranted to assess long-term efficacy and patient compliance.

