Urinary Incontinence significantly affects daily life of suffering women. Minimally invasive solutions to cope with urine leakage would be of great interest. 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. 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. Despite global satisfactory outcomes 46% of the surveyed women declare their propensity to use the device. This data deserves further investigation.
Minerva ginecologica. 2020 Oct 01 [Epub ahead of print]
Marco Soligo, Marco Torella, Matteo Balzarro, Maria Grazia Matarazzo, Andrea Braga, Maurizio Serati, Italian Urodynamic Society (SIUD)
Urogynecology Unit, Department of Woman, Mother, and Neonate, Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, University of Milan, Milan, Italy - ., Department of Gynaecology, Obstetric and Reproductive Science, Second University of Studies of Naples, Naples, Italy., Department of Urology Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy., Gynecological Clinic, Policlinico Universitario-Catania, Catania, Italy., Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland., Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy.