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A randomized controlled study to compare tension free vaginal tape (TVT) and Monarc trans-obturator tape (TOT) in the treatment of women with urodynamic stress incontinence (USI) and intrinsic sphincter deficiency (ISD).

Not Applicable
Completed
Conditions
Intrinsic sphincter deficiency
Best surgical correction
Urodynamic stress incontinence
Renal and Urogenital - Other renal and urogenital disorders
Surgery - Surgical techniques
Registration Number
ACTRN12608000093381
Lead Sponsor
Mercy Hospital for Women
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
182
Inclusion Criteria

urodynamics stress incontinence with intrinsic sphincter deficiency

Exclusion Criteria

pelvic infection, voiding difficulty (defined at cystometry as maximum flow less than 15 mL per second or voiding pressure greater than 50 cm H2O or residual volume greater than 100 mL), inability to give informed consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
subjective cure of urinary incontinence assessed with visual analog score, quality of life questionaires (UDI 6, IIQ 7)[ 6 months, longterm follow up 3 years post surgery];need for repeat surgical treatment[ 6 months after primary procedure];objective cure of urinary incontinence on urodynamics[ 6 months]
Secondary Outcome Measures
NameTimeMethod
surgical postoperative complication[ first six weeks postoperative];longterm surgical complications[ 6 months, longterm follow up 3 years post surgery];surgical intra-operative complication[ immediately]
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