Effect of Electroacupuncture Versus PFMT Plus Solifenacin for Mixed Urinary Incontinence
Condition: Urinary Incontinence
MeSH terms: Urinary Incontinence; Enuresis
Study type: Interventional

Summary: 
      A noninferiority randomized controlled trial aimed at comparing the effect and safety of
      electroacupuncture versus the pelvic floor muscle training (PFMT) plus solifenacin for mixed
      urinary incontinence (MUI).
    

Detailed description: 
      Participants experiencing mixed urinary incontinence will be recruited from 10 centers. A
      gynecologist or urologist will make the diagnosis. Central randomization will be performed by
      the Clinical Evaluation Center of the China Academy of Chinese Medical Sciences in Beijing.

      Sample size: Sample size is based on the primary outcome. According to literature, the
      investigators predict that MUI patient's average 72-h incontinence episode frequency of the
      week 1-12 will decrease by 60% from the baseline after treatment of PFMT plus solifenacin.
      The number of the acupuncture group is 57%. For the assessment of noninferiority, 250
      participants will be needed for each group allowing for a 15% dropout (α=0.05，β=0.2，δ=15%).

      Quality control: A 3-level monitoring system (monitors responsible for one center, monitors
      responsible for all centers and monitors responsible for the whole trial) will be established
      to check the performance of the trial in time. Outcome assessment, completion of case report
      forms and data management will be under strict supervision.

      Data management: The Remote Dara Capture (RDC) system will be used for data entering. Both
      paper and electronic case report form will be reserved. A data verification plan is made.
    

Intervention name(s): acupuncture; solifenacin; PFMT
Intervention type(s): Procedure; Drug; Procedure
Intervention description(s): For BL33, the needle (75mm) will be inserted at the point upper and outside of BL33. Insert the needle with a 30-45°angle to a depth of 50-60 mm. The needle will be manipulated with an even lifting, thrusting and twisting method and the sense of soreness and distention will radiate to the perineal region or the anus. For BL35, the needle will be inserted upward and outward slightly with an even lifting, thrusting and twisting method. The sense of soreness and distention will radiate to the perineal region or the anus. The electric stimulator will be put on the two pair of points with a spare-dense wave, 10/50 Hz, 0.1-5.0 mA. The current intensity will be increased until the participant can not stand.; Solifenacin used in this trial is produced by Astellas Pharma Europe B.V.(Country medicine accurate character No. J20090109 ); Intensity of the PFMT exercises will conform to the guideline of National Institute for Health and Clinical Excellence (NICE).
Other intervention name(s): electroacupuncture; competitive cholinergic receptor antagonist; pelvic floor muscle training
Intervention MeSH terms: Solifenacin Succinate; Cholinergic Antagonists
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: electroacupuncture; urinary incontinence; PFMT; Solifenacin