Incontinence Surgery and Urodynamics Parameters

Kanuni Sultan Suleyman Training and Research Hospital

Status: Completed

Conditions: Surgery; Incontinence

Treatments: Diagnostic Test: urodynamics parameters

Study type: Observational

Funder types: Other

Identifiers

NCT04426682

ATADEK / 2020.06

Details and patient eligibility

About

In patients who have previously had incontinence surgery due to stress incontinence (Midurethral slings (tvt, tot, etc.)), the symptoms may return in the following years and the patient can reapply with urinary incontinence. Urodynamic evaluation is important before stress incontinence surgery to confirm clinical diagnosis based on symptoms and findings and to determine the factors that may affect the effectiveness of surgery and the possibility of complications. Urodynamics evaluation is performed in the preoperative period in patients scheduled for incontinence. Urodynamics evaluation is performed again in patients who applied with post-operative recurrence due to surgery failure or different reasons.

It is aimed to show whether there is a difference between the urodynamics parameters of these patients who were examined preoperatively and the urodynamics parameters examined in case of postoperative failure. Thus, the primary goal; to show which of these parameters has deterioration or if the surgical method is insufficient if it is within certain limits or urinary incontinence may recur.

Enrollment: 210 patients

Sex: Female

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who have previously undergone surgery for stress incontinence
• Those who are symptomatic again in their post-operative follow-up (urinary incontinence),
• Patients who underwent preoperative and postoperative urodynamics

Exclusion criteria

• Those with chronic diseases or medications that may cause urinary incontinence
• Patients with mixed or urge incontinence
• Patients who are not symptomatic postoperatively

Trial design

210 participants in 2 patient groups

post-operative urinary incontinents

Description:

In patients who have previously had incontinence surgery due to stress incontinence, symptoms may return in the following years, and the patient may reapply with urinary incontinence. The first group will consist of postoperative urinary incontinence recurrent patients. Patients whose urodynamics are reperformed due to recurrence are the study group.

Treatment:

Diagnostic Test: urodynamics parameters

without postoperative urinary incontinence

Description:

Patients who previously had incontinence surgery due to stress incontinence and who did not have postopertive urinary incontinence but whose urodynamics were repeated during the routine controls will constitute the control group.

Treatment:

Diagnostic Test: urodynamics parameters