Sonographic Evaluation of the Single-incision Needleless (Contasure-needleless®) Mini-sling Placement to Predict Success
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Urinary Incontinence,Stress
- Sponsor
- Bartin State Hospital
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- The correlation of failure with the sonographic features of the mesh
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Transperineal ultrasonography is gaining importance in preoperative and postoperative evaluation of the patient with urinary incontinence with allowing well detailed information about the anterior compartment.
There is little evidence that transperineal sonography can aid surgeons to predict the success or failure after mid-urethral slings.
We aimed to investigate the efficacy of sonography in mini-sling operations to predict the success or failure.
Detailed Description
Women who are scheduled for anti-incontinence operation due to their stress urinary incontinence will be pre- and postoperatively evaluated by transperineal and introital ultrasound. Patients will be followed for at least 1 year.
Investigators
Murat Yassa
Principal Investigator
Bartin State Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients with clinically stress urinary incontinence
- •Patients who claim that their condition severely impair their quality of life
- •Patients who are failed on conservative management (life style changes and pelvic floor exercises)
Exclusion Criteria
- •Patients who have unregulated diabetes mellitus (they will be included after appropriate and sustainable blood glucose regulation)
- •Patients who have neurological condition that may affect the incontinence
- •Patients who have psychiatric disease that may affect the subjective evaluation.
Outcomes
Primary Outcomes
The correlation of failure with the sonographic features of the mesh
Time Frame: Evaluation at postoperative 1st and 4th weeks
Patients will be accepted as failure if their stress test is positive Sonographic features of the mesh includes the shape of the mesh, the distance to the mid-urethra, the position related to the proximal urethra and the angle between the mesh arms on coronal axis
Secondary Outcomes
- POP-Q(Evaluation at postoperative 1st and 4th weeks and preoperatively)
- Nocturia(Evaluation at postoperative 1st and 4th weeks and preoperatively)
- Subjective success(Evaluation at postoperative 1st and 4th weeks)
- Anterior compartment mobility angles(Evaluation at postoperative 1st and 4th weeks and preoperatively)
- Urge symptoms(Evaluation at postoperative 1st and 4th weeks and preoperatively)
- Anterior compartment mobility distances(Evaluation at postoperative 1st and 4th weeks and preoperatively)