Explore UAB

RESEARCH PARTICIPANTS NEEDED

We are actively recruiting for research studies focused on women with one of the following conditions:

  • Accidental bowel leakage (fecal incontinence)
  • Urinary leakage (urinary incontinence)
  • Vaginal prolapse (feeling a bulge from the vagina)

Please call 205-934-5498 to learn more about these studies, or click here to complete a form, and one of our research nurses or another staff member will contact you.

CURRENT RESEARCH STUDIES

URINARY LEAKAGE (URGENCY URINARY INCONTINENCE)

BEST Trial

The BEST trial will compare mirabegron (an oral medication) to BOTOX® (a medication injected into the bladder) for treating urgency urinary incontinence (UUI). UUI is when you feel a sudden, strong desire to pass urine that results in leakage before reaching the toilet. Both BOTOX® and Mirabegron are approved by the FDA and are commonly used for treating UUI, but their effects have not yet been directly compared to each other. If you are a woman at least 21 years old and have sudden, strong urges to urinate, you may qualify for the study. If you would like more information about the study, contact our research staff at the number listed above. Compensation will be provided.

For more information, view the BEST Study Landing Page and check out the BEST Study Brochure (PDF, 2MB)

RELIEF Trial

In this study, we will try to find out how well BOTOX® treatment works in women age 70 and above who have urgency urinary incontinence (UUI). UUI is when you feel a sudden, strong desire to pass urine that results in leakage before reaching the toilet. BOTOX® is a common treatment for UUI. If you are a woman age 70 or older and experience urine leakage with a feeling of strong urgency, you may qualify for the study. If you want more information about the study, contact our research staff at the number listed above. Compensation will be provided. For more information, click here.

WHAT WOMEN NEED TO KNOW ABOUT PELVIC FLOOR SYMPTOMS

The pelvic floor is composed of the muscles, ligaments, connective tissue, and nerves that support the bladder, uterus, vagina, and rectum and help these pelvic organs function.

What are pelvic floor disorders?

  • Urinary incontinence or lack of bladder control
  • Fecal incontinence or lack of bowel control
  • Pelvic organ prolapse, a condition in which the uterus, bladder, and bowel may “drop” within or outside the vagina and cause a bulge through the vaginal opening 

Women with pelvic floor disorders may experience:

  • Urinary problems, including urinary incontinence; urinary leakage with coughing, sneezing, or with a strong urge to go; and the feeling of incomplete bladder emptying
  • Bowel problems, such as stool leakage or difficulty having a bowel movement
  • Vaginal prolapse, which is a bulge in or outside of the vagina that you can see or feel

Causes of Pelvic Floor Disorders

Childbirth is one of the major risk factors for developing pelvic floor disorders in women. Other factors include menopause, prior surgery or pelvic radiation, heavy lifting and straining, obesity, being born with weak connective tissue, and aging.

Treatment Options

If you have a pelvic health issue, it could benefit you to learn more about your treatment options. Surgical and non-surgical treatments include:

  • Pelvic floor muscle training (PFMT): Pelvic floor exercises can strengthen the pelvic muscles and help prevent leakage of urine and/or stool. PFMT can be done with the assistance of a trained pelvic floor physical therapist.
  • Devices and Medications: Certain devices called pessaries can be used to treat urinary and bowel leakage and prolapse as an alternative to surgery or until you are ready for surgery. Medications are also available to treat a variety of pelvic floor problems.
  • Surgery: Surgery may be recommended if symptoms continue after trying a non-surgical approach or for women who do not wish to try conservative therapies.

The specialists in the UAB Division of Urogynecology and Reconstructive Pelvic Surgery provide professional and sensitive care for women with urogynecological conditions.

To schedule an appointment with a UAB Medicine urogynecologist, please call 205-996-3130.