A urinary control device for management of female stress incontinence

Objective: To examine the performance of a silicon urinary control device f or nonsurgical management of women with genuine stress incontinence. Methods: A 3-month prospective study involved 41 women with genuine stress incontinence. They completed urinary diaries of voiding; incontinence, and severity of incontinence on a 4-point scale over a week. Subjects were taug ht how to apply the device and used it as required from the second week. Vi sual analogue scales were used to record aspects of use (such as acceptabil ity, comfort, and ease of application), and 2-hour perineal pad tests were completed at recruitment, after 2 weeks, and after 3 months. Data were comp ared by Mann-Whitney U test, or Wilcoxon test. Results: Ten women (24.4%) declined to participate and six (14.6%) withdrew before 2 weeks. Ten (24.4%) failed to attend for 2-week follow-up, and 11 (26.8%) did not continue for 3 months. Two (4.9%) did not attend 3-month fo llow-up. Only two women (4.9%) completed the study. There was no difference in pad test results or in results from voiding diaries. Conclusion: The urinary incontinence device had low acceptability and was i neffective, and we cannot recommend it for nonsurgical management of genuin e stress incontinence. (Obstet Gynecol 2000;95:417-20. (C) 2000 by The Amer ican College of Obstetricians and Gynecologists.).