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
Dr. Lily A. Arya, MD