Evident, Occult and no Demonstrated USI and UDS Findings in Women With ≥Stage II Cystocele

National Taiwan University

Status: Completed

Conditions: Urodynamic Stress Incontinence in Severe Cystocele Women

Treatments: Diagnostic Test: Urodynamic study

Study type: Observational

Funder types: Other

Identifiers

NCT03613311

201805048RIN

Details and patient eligibility

About

Prevalence rates of urodynamic urinary incontinence (USI) subtypes and their related clinical and urodynamic findings in women with ≥ pelvic organ prolapse quantification stage II cystocele are important for clinical consultation, especially for occult USI. Misdiagnosis of occult USI before cystocele repair might lead to occurrence of de novo stress urinary incontinence after cystocele repair. Thus, the aim of this study was to elucidate the above findings and between-group associations.

Full description

Between November 2011 and January 2017, medical records of all women with ≥stage II cystocele who underwent urodynamic studies in a medical center were reviewed. ANOVA test and post-hoc testing with bonferroni's correction were used for statistical analysis. USI is noted during filling cystometry and is defined as the involuntary leakage of urine during increased abdominal pressure, in the absence of a detrusor contraction. The recruited patients with cystocele were classified into three groups (i.e.,evident USI, occult USI and no demonstrated USI) according to pad weight results before and after prolapse reduction.

Enrollment: 480 patients

Sex: Female

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age >20y/o
2. Cystocele > stage II
3. Complete urodynamic study

Exclusion criteria

1. Pregnancy
2. Urinary tract infection
3. Previous pelvic reconstruction surgery

Trial design

480 participants in 3 patient groups

Evident urodynamic stress incontinence(USI)

Description:

Between November 2011 and January 2017, medical records of all women with ≥stage II cystocele who underwent urodynamic studies in a medical center were reviewed. USI is noted during filling cystometry and is defined as the involuntary leakage of urine during increased abdominal pressure, in the absence of a detrusor contraction.

Treatment:

Diagnostic Test: Urodynamic study

Occult USI

Description:

Between November 2011 and January 2017, medical records of all women with ≥stage II cystocele who underwent urodynamic studies in a medical center were reviewed. USI is noted during filling cystometry and is defined as the involuntary leakage of urine during increased abdominal pressure, in the absence of a detrusor contraction after prolapse reduction by vaginal gauze.

Treatment:

Diagnostic Test: Urodynamic study

ND USI

Description:

Between November 2011 and January 2017, medical records of all women with ≥stage II cystocele who underwent urodynamic studies in a medical center were reviewed. No USI was noted in this group.

Treatment:

Diagnostic Test: Urodynamic study