Effectiveness of the conveen continence guard (a disposable vaginal device) in the treatment of complicated female stress incontinence

Background. Treatment alternatives for women with stress urinary incontinen ce, complicated by prior unsuccessful surgery or concomitant diseases that prevent surgical intervention are limited. The aim of this study was to inv estigate the usefulness and effectiveness of a disposable vaginal device, t he Conveen Continence Guard, in cases where surgery was not recommended for treatment of stress urinary incontinence. Methods. Twenty-eight women, with a urodynamically proven stress urinary in continence, were offered the use of a vaginal device during a prospective t hree-week treatment period. Objective and subjective prevention of urinary leakage was assessed by a 24-h pad-weighing test, by a visual analog scale and a quality of life questionnaire. At the end of the treatment period the women answered a questionnaire on the ease and comfort of use of the devic e. Results. Of the nineteen women who completed the study, 89.5% were cured or improved according to subjective assessments, the respective figure being 84.2% according to objective assessment. Conclusion. The Conveen Continence Guard seems to be a promising treatment alternative for women for whom other treatment methods have failed. The dev ice was well tolerated by the women and was regarded easy to use.