Treatment of Neurogenic Incontinence by Surgery to Cut the Filum Terminale
Stopped early
Conditions studied: Neurogenic Incontinence, Dysfunctional Voiding
In brief
The target population of this study is children with primary or secondary daytime urinary incontinence, who have failed to improve adequately despite compliance with at least 6 months of standard medical therapy. The study hypothesis is that patients who under go cutting the filum terminale - the string-like lower end of the spinal cord - will have improved bladder function at 6-month follow up. Bladder function and its effects on quality of life will be measured before surgery and at 6-month follow up.
Key facts
- Study ID
- NCT01465581
- Run by
- Nemours Children's Clinic
- People needed
- 5
- Starts
- 2011-07-01
- Expected to finish
- 2014-04-01
- Last updated by the study team
- 2015-04-17
Who can join
Age: 5 and older, up to 16. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Primary or secondary daytime urinary incontinence, persistent over at least 6 months of medical treatment.
- Abnormal urodynamic testing
- Normal conus on magnetic resonance imaging of the spine
- Dysfunctional Voiding Symptom Scale score greater than 6 for girls or greater than 9 for boys
You may not qualify if…
- Bladder outlet obstruction
- Bladder atony
- Congenital anorectal malformation
- Additional diagnoses independently associated with neurogenic bladder dysfunction
- Encephalopathy precluding reasonable expectation of attainment of continence
- Inability to comply with medical management
- Unwillingness to comply with initial or follow up urodynamic testing
Where it is running
- A I duPont Hospital for Children — Wilmington, Delaware, United States
Full record on ClinicalTrials.gov
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