CClinicalTrials.gg
Active, not recruitingNCT07327528CIP-003Updated Jan 8, 2026

Monocentric Pilot Study for the Application of an Endourethral Device for the Treatment of Stress Urinary Incontinence

An interventional study of UroRelief, a sterile, single-use, endourethral medical device suitable for both men and women, which is positioned at the bladder neck for the treatment of stress incontinence. in Urinary Incontinence , Stress, sponsored by Relief srl. Active, not recruiting at 1 site in Italy. Open to participants aged 21 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-01-08.

Sponsored by Relief srl · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
21 Years to 85 Years
Sex
All
01

Study summary

Stress urinary incontinence is defined as the involuntary loss of urine during exertion or physical activity (i.e., sports) or during sneezing or coughing. Approximately 127 million women and 10 million men reported suffering from stress urinary incontinence in 2008, and current estimates are on the rise.

The prevalence of stress urinary incontinence is higher in older age groups, with 10% of women and 5% of men over the age of 65 suffering from this condition. The initial management of urinary incontinence consists of basic diagnostic investigations to rule out any reversible conditions (i.e., bacterial urinary tract infections, UTIs), while conservative and non-invasive treatment options include lifestyle changes, (PFMT) with or without biofeedback, and bladder retraining.

Read the detailed description

Stress urinary incontinence is defined as the involuntary loss of urine during exertion or physical activity (i.e., sports) or during sneezing or coughing.

It is estimated to be the most common type of urinary incontinence worldwide due to its high prevalence in women. Approximately 127 million women and 10 million men reported suffering from stress urinary incontinence in 2008, and current estimates are on the rise. It can be primary or secondary and is caused by damage to either the sphincter innervation or the anatomical structures that make up the urethral sphincter. It is usually classified according to its severity and, consequently, according to the impairment of the patient's quality of life. It can seriously affect patients' quality of life in severalareas, leading to conditions such as sexual dysfunction, social isolation, withdrawal from physical activity, and major depression. The initial management of urinary incontinence consists of basic diagnostic investigations to rule out any reversible conditions (i.e., bacterial urinary tract infections, UTIs), while conservative and non-invasive treatment options include lifestyle changes, pelvic floor muscle training (PFMT) with or without biofeedback and bladder retraining, as well as the chronic and daily use of external aids (diapers).

The goal of treatment is to achieve complete or partial continence, with the aim of restoring normal sexual function. (PFMT) with or without biofeedback and bladder retraining, as well as the chronic and daily use of external aids (diapers, collection systems, prophylactics, etc.). However, this does not guarantee the restoration of a good quality of life. The current guidelines of the European Association of Urology (EAU) recommend surgical treatment when conservative and pharmacological therapies fail. In men, the most common surgical treatment for stress urinary incontinence that does not respond to therapy is the implantation of an artificial urethral sphincter, while in women, the indication is for complicated stress urinary incontinence (failure of other treatments such as retropubic or transobturator mid-retral slings). Currently, the most widely used device is a three-chamber device (consisting of a cuff, a balloon, and a pump) placed extraurethrally, whose application requires general and/or spinal anesthesia. The system proposed in the study, on the other hand, is an endourethral device to be applied endoscopically after anesthesia. The device is applied through a simple endoscopic maneuver without the need for other devices implanted in other anatomical sites and can be activated by slight abdominal pressure exerted by the patient.

02

Conditions studied

  • Urinary Incontinence , Stress

Keywords

  • Urinary incontinence, Stress
03

In context

Urinary Incontinence, Stress

658 studies on the registry are indexed under Urinary Incontinence, Stress; 123 are open to participants now.

This study's planned enrollment of 20 is below the median of 70 across 509 interventional studies indexed under Urinary Incontinence, Stress.

Browse Urinary Incontinence, Stress studies →

Lead sponsor

Relief srl is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients (both women and men) aged between 21 and 85 years
  • Documented stress urinary incontinence (urethral hypermobility or intrinsic sphincter deficiency) in which urgency symptoms are a minor component of the incontinence symptoms
  • Stress urinary incontinence present and physiologically stable over the last 6 months.
  • Urinary leakage >150 ml in the 24-hour PAD test performed during the pre-implantation screening phasefor male patients.- Urinary leakage >150 ml in the 24-hour PAD test performed during the pre-implantation screening phase
  • Cognitive/manual ability to use the device.
  • The patient is willing and able to meet the requirements of the protocol.
  • The patient has decided to be implanted with the device for the treatment of urinary incontinence
  • Willingness to sign the informed consent form.
  • Willingness to return for follow-up evaluations and complete questionnaires.
  • The patient has been informed about alternative therapies available for the treatment or management of urinary incontinence and about all possible risks associated with the implantation of the device.
  • Any pre-existing urological conditions have been treated and resolved or are under control.
  • Urinalysis and urine culture negative for infections and (micro)hematuria.
  • Flexible cystoscopy with evidence of sphincter incompetence.

Exclusion criteria

Exclusion Criteria:

  • Primary urge incontinence or mixed stress and urge incontinence in which urge symptoms are a major component of the incontinence symptoms.
  • Detrusor overactivity.
  • History of recurrent bladder stones.
  • Atonic neurogenic bladder or detrusor sphincter dyssynergia.
  • Patients taking specific medications for bladder dysfunction or currently undergoing treatment for incontinence.
  • Post-void residual urine >200 ml.
  • Maximum cystometric capacity \<150 ml.
  • Detrusor pressure >20 cmH2O.
  • Flexible cystoscopy showing stenosis that prevents device implantation.
  • History of previously undiagnosed and unidentified microhematuria.
  • Unexplained cystoscopic abnormalities and any suspected ongoing urological pathology.
  • Asymptomatic bacteriuria during the screening period.
  • History of bladder or upper urinary tract infections more than twice in the last 12 months.
  • Patients requiring frequent catheterization or intermittent cystoscopy due to previous conditions.
  • Female patients who are pregnant or planning to become pregnant within the next year.
  • Stage II uterine prolapse in female patients.
  • Previous pelvic surgery or radiotherapy in female patients.
  • Any previous implantation of medical devices for urinary incontinence.
  • History of sensitivity to silicone, titanium, nickel, and all materials listed in the technical data sheet.
  • Vulnerable patients or those in emergency circumstances.
  • The patient's health status precludes completion of follow-up, including terminal illnesses.
  • Not willing/able to comply with the study requirements.
  • Participation in any clinical study in the last 3 months.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Endoscopic surgery for device installation

    Endoscopic surgery for device installation

    Device: UroRelief, a sterile, single-use, endourethral medical device suitable for both men and women, which is positioned at the bladder neck for the treatment of stress incontinence.

Interventions

  • DeviceUroRelief, a sterile, single-use, endourethral medical device suitable for both men and women, which is positioned at the bladder neck for the treatment of stress incontinence.

    UroRelief is a sterile, single-use, endourethral medical device suitable for both men and women, which is positioned at the bladder neck for the treatment of stress incontinence. The device is designed to be inserted through the urethra using a routine endoscopic procedure with a resectoscope. Once in place, the device is completely inside the body with no visible parts outside and can restore urinary continence control.

06

What researchers measure

Primary outcomes

  1. The safety of UroRelief

    \- Complete characterization of all serious and unrecorded adverse events, including frequency and severity, reported throughout the study, according to the Clavien Dindo classification (I, II, 111°, IIIb, IVa, IVb, V).

    Time frame: 18 months

  2. The safety of UroRelief

    \- Pain assessed using the Visual Analog Scale (VAS) 1-10 for pain \[Observation period:Baseline, 10, 30, 60, 90, and 120 days\].

    Time frame: 18 months

  3. The safety of UroRelief

    \- Quality of sexual life assessed using the Female Sexual Function Index (FSFI) for women \[Observation period: Baseline, 10, 30, 60, 90, and 120 days\].

    Time frame: 18 months

  4. The safety of UroRelief

    \- Quality of sexual life assessed using the International Index of Erectile Function (IIEF) questionnaire for men \[Observation period: Baseline, 10, 30, 60, 90, and 120 days\].

    Time frame: 18 months

Secondary outcomes

  1. Assess incontinence at 30 days, measured using the 24-hour pad weight test.

    Percentage of patients with a significant reduction in incontinence at 60 days. A subject is considered a success if they experience a reduction in the weight of the diaper over 24 hours of at least 50% at 30 days compared to the baseline value.

    Time frame: 18 months

07

Study locations

1 site
  • ASST Grande Ospedale Metropolitano Niguarda
    Milan, 20162, Italy
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07327528
Lead sponsor
Relief srl
Responsible party
Sponsor
First posted
Jan 8, 2026
Start date
Jul 9, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jan 8, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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