Treatment of Urge Urinary Incontinence in Women After Failure of Cesa or Vasa (URGE II)

This study is currently recruiting participants. (see Contacts and Locations)
Verified January 2013 by Klinikum der Universität Köln
Information provided by (Responsible Party):
Professor Dr. Wolfram Jäger, Klinikum der Universität Köln Identifier:
First received: November 28, 2012
Last updated: January 20, 2013
Last verified: January 2013

Urge urinary incontinence can be a disorder caused by destroyed pelvic structures. We repaired the uteri-sacral ligaments (USL) by cesa or vasa. The study evaluates if solifenacin can lead to continence after surgery or if also the pubo-urethral ligaments (PUL) need to be repaired.

Condition Intervention Phase
Treatment of Urge Incontinence After Repair of the USL
Procedure: TOT
Drug: solifenacin
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase 1/2 Study of the Effect of TOT or Solifenacin After Cesa or Vasa on Urge Urinary Incontinence

Resource links provided by NLM:

Further study details as provided by Klinikum der Universität Köln:

Primary Outcome Measures:
  • cure of incontinence [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • improvement of urge symptoms [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 120
Study Start Date: January 2013
Estimated Study Completion Date: July 2016
Estimated Primary Completion Date: December 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: trans obturatorial tape (TOT)
placement of a sub-urethral tape
Procedure: TOT
Other Name: trans obturatorial tape
Active Comparator: solifenacin
10 mg per day
Drug: solifenacin
Other Name: VESICUR 10mg per day

Detailed Description:

It was hypothesized that urge urinary incontinence in women is based on the destruction of the uteri-sacral ligaments (USL)and the pubourethral ligaments (PUL). In a preliminary study (URGE I) we repaired the USL by cesa or vasa. Those patients who are still incontinent after cesa and vasa get the repair of the PUL by means of trans-obturator tapes (TOT). That treatment is compared to conservative medical treatment. Cross over after completion of three months is possible if no continence is achieved.


Ages Eligible for Study:   40 Years to 85 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • prior vasa or cesa operation as part of the URGE I study
  • stress urinary incontinence
  • mixed urinary incontinence

Exclusion Criteria:

  • previous urogynecological surgery
  • avulsion of cesa or vasa tape
  • pregnancy
  • neurologic/psychological reasons for incontinence
  • body weight >100kg
  • syndrome of dry overactive bladder
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01737918

Contact: Wolfram H Jager, PhD 0049221478 ext 4900
Contact: Peter Mallmann, PhD 0049221478 ext 4940

Abt. Beckenbodenchirurgie der Universitäts-Frauenklinik Köln Recruiting
Köln, NRW, Germany, 50931
Contact: Wolfram H Jager, PhD    0049221478 ext 4900   
Abt. Beckenbodenchirurgie der Universitäts-Frauenklinik Köln Recruiting
Köln, NRW, Germany, 50931
Contact: Wolfram H Jager, PhD    0049221478 ext 4900   
Contact: Peter Mallmann, PhD    0049221478 ext 4940   
Principal Investigator: Wolfram H Jager, PhD         
Sponsors and Collaborators
Klinikum der Universität Köln
  More Information

No publications provided

Responsible Party: Professor Dr. Wolfram Jäger, Professor, Klinikum der Universität Köln Identifier: NCT01737918     History of Changes
Other Study ID Numbers: URGE II
Study First Received: November 28, 2012
Last Updated: January 20, 2013
Health Authority: Ethical Committee of the University of Köln: Germany

Keywords provided by Klinikum der Universität Köln:
urge urinary incontinence, cesa, vasa, TOT, solifenacin

Additional relevant MeSH terms:
Urinary Incontinence
Urinary Incontinence, Urge
Lower Urinary Tract Symptoms
Signs and Symptoms
Urination Disorders
Urologic Diseases
Urological Manifestations
Cholinergic Agents
Cholinergic Antagonists
Molecular Mechanisms of Pharmacological Action
Muscarinic Antagonists
Neurotransmitter Agents
Pharmacologic Actions
Physiological Effects of Drugs
Therapeutic Uses
Urological Agents processed this record on March 26, 2015