An innovative device in the management of female urodynamic stress incontinence: a perception survey

Minerva Ginecol. 2020 Aug;72(4):219-228. doi: 10.23736/S0026-4784.20.04675-4. Epub 2020 Oct 1.

Abstract

Background: Urinary incontinence significantly affects daily life of suffering women. Minimally invasive solutions to cope with urine leakage would be of great interest.

Methods: A survey to investigate efficacy and compliance of an innovative intravaginal device (Diveen®) to reduce the risk of urine leakage was performed in 5 Urogynecological Centers across Italy. Women with urodynamic diagnosis of stress incontinence, included mixed conditions, underwent the survey.

Results: The device was effective (60%) independently from severity of Incontinence or the presence of concomitant detrusor overactivity (mixed forms) with a positive impact on quality of life in more than half of the women. Also compliance with the device was satisfactory (up to 73%). Clinically symptomatic prolapse and age >65 years are the only limiting factors in terms of efficacy and compliance, while the menopausal status would not seem to affect these aspects.

Conclusions: Despite global satisfactory outcomes, 46% of the surveyed women declare their propensity to use the device. This data deserves further investigation.

MeSH terms

  • Aged
  • Female
  • Humans
  • Perception
  • Quality of Life
  • Urinary Incontinence*
  • Urinary Incontinence, Stress* / therapy
  • Urodynamics