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Trial · NCT04171531

Sling vs Botox for Mixed Incontinence

NCT04171531, Phase 3, Completed, NICHD Pelvic Floor Disorders Network; results first posted 2025-03-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Sling vs Botox for Mixed Incontinence. Trials, record NCT04171531. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04171531

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Sling vs Botox for Mixed Incontinence
NCT number
NCT04171531
Status
Completed
Phases
Phase 3
Enrollment
150 participants, actual
Lead sponsor
NICHD Pelvic Floor Disorders Network
Conditions
Urinary Incontinence, Stress, Urinary Incontinence, Urge
Interventions
Botox® injection, Mid-urethral sling
First posted
2019-11-21
Last updated
2025-06-03
Results first posted
2025-03-20

Source ClinicalTrials.gov

Registered outcomes55

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryUDI-LF Total Score Change From Baseline3, 6, 9, and 12 Months
The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI scale has a range from 0 to 300 with higher scores indicating greater distress. The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SecondaryUDI-LF Stress Score Change From Baseline3, 6, 9, and 12 Months
The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Stress subscale has a range from 0 to 100 with higher scores indicating greater distress. The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
SecondaryUDI-LF Irritative Score Change From Baseline3, 6, 9, and 12 Months
The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Irritative subscale has a range from 0 to 100 with higher scores indicating greater distress. The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
OtherUDI-LF Obstructive Score Change From Baseline3, 6, 9, and 12 Months
The Urogenital Distress Inventory is a standardized a measure of overactive bladder symptoms and health-related quality of life. The UDI Obstructive subscale has a range from 0 to 100 with higher scores indicating greater distress. The outcome is calculated as the difference in score at 3, 6, or 12 months and the score at baseline.
OtherAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline3, 6, and 12 Months
Based on data collected from participant-completed diaries, average daily frequency of combined mixed stress/urge and non-categorized incontinence epsiodes. The outcome variable is computed as the difference in number of episodes at 3, 6, and 12 months and the number of episodes at baseline.
OtherAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline3, 6, and 12 Months
Based on data collected from participant-completed diaries, average daily frequency of all incontinence epsiodes. The outcome variable is computed as the difference in number of episodes at 3, 6, and 12 months and the number of episodes at baseline.
OtherAverage Daily Frequency of Diurnal Voids Change From Baseline3, 6, and 12 Months
Based on data collected from participant-completed diaries, average daily frequency of diurnal voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids at baseline.
OtherAverage Daily Frequency of Nocturnal Voids Change From Baseline3, 6, and 12 Months
Based on data collected from participant-completed diaries, average daily frequency of nocturnal voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids at baseline.
OtherAverage Daily Frequency of All Voids Change From Baseline3, 6, and 12 Months
Based on data collected from participant-completed diaries, average daily frequency of all voids. The outcome variable is computed as the difference in number of voids at 3, 6, and 12 months and the number of voids at baseline.
OtherNormalization of Voiding Frequency3, 6, and 12 Months
Based on data collected from participant-completed diaries at baseline and 3, 6, and 12 months, for participants with \>8 voids at baseline, the outcome is calculated as Yes=no more than 8 voids noted at the time point, No=Otherwise

Outcomes55

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYUDI-LF Total Score Change From Baseline3, 6, 9, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
units on a scaleMEAN
SECONDARYUDI-LF Stress Score Change From Baseline3, 6, 9, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
units on a scaleMEAN
SECONDARYUDI-LF Irritative Score Change From Baseline3, 6, 9, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
units on a scaleMEAN
OTHER_PRE_SPECIFIEDUDI-LF Obstructive Score Change From Baseline3, 6, 9, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
units on a scaleMEAN
OTHER_PRE_SPECIFIEDAverage Daily Frequency of Combined Mixed Stress/Urge and Non-categorized Incontinence Epsiodes Change From Baseline3, 6, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
incontinence episodes/dayMEAN
OTHER_PRE_SPECIFIEDAverage Daily Frequency of All Incontinence Epsiodes Change From Baseline3, 6, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
incontinence episodes/dayMEAN
OTHER_PRE_SPECIFIEDAverage Daily Frequency of Diurnal Voids Change From Baseline3, 6, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
diurnal voids/dayMEAN
OTHER_PRE_SPECIFIEDAverage Daily Frequency of Nocturnal Voids Change From Baseline3, 6, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
nocturnal voids/dayMEAN
OTHER_PRE_SPECIFIEDAverage Daily Frequency of All Voids Change From Baseline3, 6, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
voids/dayMEAN
OTHER_PRE_SPECIFIEDNormalization of Voiding Frequency3, 6, and 12 Months
An intent-to-treat (ITT) analysis which included all eligible participants who were randomized and who provided outcome data after baseline was performed. Data that was collected after a participant was retreated for urinary incontinence was excluded from the analysis.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group510

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
UDI-LF Total Score Change From BaselineBotox A3.0-82.295% Confidence Interval -100 to -64.4units on a scale
UDI-LF Total Score Change From BaselineMid-Urethral Sling3.0-84.695% Confidence Interval -101 to -68.3units on a scale
UDI-LF Total Score Change From BaselineBotox A6.0-74.995% Confidence Interval -93.6 to -56.1units on a scale
UDI-LF Total Score Change From BaselineMid-Urethral Sling6.0-89.195% Confidence Interval -104.7 to -73.5units on a scale
UDI-LF Total Score Change From BaselineBotox A9.0-63.195% Confidence Interval -81.8 to -44.5units on a scale
UDI-LF Total Score Change From BaselineMid-Urethral Sling9.0-85.695% Confidence Interval -102.7 to -68.6units on a scale
UDI-LF Total Score Change From BaselineBotox A12.0-67.795% Confidence Interval -85.7 to -49.8units on a scale
UDI-LF Total Score Change From BaselineMid-Urethral Sling12.0-89.295% Confidence Interval -107.5 to -70.9units on a scale
UDI-LF Stress Score Change From BaselineBotox A3.0-27.995% Confidence Interval -37.7 to -18.1units on a scale
UDI-LF Stress Score Change From BaselineMid-Urethral Sling3.0-46.495% Confidence Interval -55.4 to -37.3units on a scale

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBotox A72
Overall StudySTARTEDMid-Urethral Sling78
Overall StudyReceived TreatmentBotox A71
Overall StudyReceived TreatmentMid-Urethral Sling69
Overall StudyProvided Follow-up DataBotox A71
Overall StudyProvided Follow-up DataMid-Urethral Sling66
Overall StudyCOMPLETEDBotox A66
Overall StudyCOMPLETEDMid-Urethral Sling63
Overall StudyNOT COMPLETEDBotox A6
Overall StudyNOT COMPLETEDMid-Urethral Sling15

Adverse events178

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAtrial fibrillationCardiac disordersBotox A1712
otherAtrial fibrillationCardiac disordersMid-Urethral Sling0690
otherEar painEar and labyrinth disordersBotox A0710
otherEar painEar and labyrinth disordersMid-Urethral Sling1691
otherAbdominal painGastrointestinal disordersBotox A1711
otherAbdominal painGastrointestinal disordersMid-Urethral Sling1691
otherConstipationGastrointestinal disordersBotox A0710
otherConstipationGastrointestinal disordersMid-Urethral Sling2692
otherDefaecation urgencyGastrointestinal disordersBotox A1711
otherDefaecation urgencyGastrointestinal disordersMid-Urethral Sling0690

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBotox A071
Total, all-cause mortalityMid-Urethral Sling069
Total, other adverse eventsBotox A4071
Total, other adverse eventsMid-Urethral Sling4169
Total, serious adverse eventsBotox A371
Total, serious adverse eventsMid-Urethral Sling869

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
34242627DERIVEDPubMed
38212101DERIVEDPubMed
40323617DERIVEDPubMed

Grants8

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
U24HD069031Pelvic Floor Disorders Network Data Coordinating CenterGANTZ, MARIE GRESEARCH TRIANGLE INSTITUTEEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD041267Duke University Medical Center (DUMC) Pelvic Floor Disorders Network (PFDN) Clinical SiteSIDDIQUI, NAZEMA YDUKE UNIVERSITYEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD054214Pelvic Floor Disorders Network Clinical Site Application: The San Diego Pelvic Floor ConsortiumLUKACZ, EMILY S.; MENEFEE, SHAWN AUNIVERSITY OF CALIFORNIA, SAN DIEGOEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD054241Pelvic Floor Disorders Network 2021RAHN, DAVID DWIGHTUT SOUTHWESTERN MEDICAL CENTEREUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD069010Pelvic Floor Disorders NetworkHARVIE, HEIDI SUNIVERSITY OF PENNSYLVANIAEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD069013Brown/WIH Pelvic Floor Disorders Network SiteSUNG, VIVIAN WWOMEN AND INFANTS HOSPITAL-RHODE ISLANDEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD041261University of Alabama at Birmingham: Pelvic Floor Disorders NetworkRICHTER, HOLLY EUNIVERSITY OF ALABAMA AT BIRMINGHAMEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2021NIH RePORTER
UG1HD069006Pittsburgh Pelvic Floor Research ProgramZYCZYNSKI, HALINA MMAGEE-WOMEN'S RES INST AND FOUNDATIONEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2021NIH RePORTER

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Botox A vs Mid-Urethral Sling: deaths from any causeTrial comparisons
Botox A vs Mid-Urethral Sling: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04171531

GET https://conductscience.org/api/trials/v1/NCT04171531/registered?page=2