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Effects of Surgical Treatment Enhanced with Exercise for Mixed Urinary Incontinence


ESTEEM is a multi-center randomized trial of 472 women with mixed urinary incontinence (MUI) who have elected to undergo surgical treatment for stress urinary incontinence (SUI). Participants will be randomized to a peri-operative behavioral pelvic floor therapy (BPTx) program plus mid-urethral sling (MUS) versus MUS alone.  The purpose is to compare combined MUS+BPTx versus MUS alone (control) on improving MUI symptoms at 1 year.

  • Stage 1: preoperative BPTx versus control 

  • Stage 2: All participants will undergo a MUS  

  • Stage 3: postoperative BPTx versus control  (based on initial randomization) 


Closed to recruitment


Principal Investigator:
Dr. Lily A. Arya, MD




Study Coordinator:
Michelle Kinglee
215-615-6569 listing

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