In Patients Who Underwent Incontinence Surgery and Who Had Postoperative Recurrence Comparison of Urodynamics Parameters Performed in Preoperative and Postoperative Period
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Incontinence
- Sponsor
- Kanuni Sultan Suleyman Training and Research Hospital
- Enrollment
- 210
- Locations
- 1
- Primary Endpoint
- urodynamics parameters V max
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Investigators
Pınar Kadirogulları
Pınar Kadiroğulları M.D, Department of Obstetrics and Gynecology,Principal Investigator
Kanuni Sultan Suleyman Training and Research Hospital
Eligibility Criteria
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
Outcomes
Primary Outcomes
urodynamics parameters V max
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; V max (voiding speed) cm3
urodynamics parameters bladder complians
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; bladder complians
urodynamics parameters P abd
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P abdominal (P abd) (mmhg)
urodynamics parameters P urethral
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P urethral (mmhg)
urodynamics parameters valsalva leak point pressure
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; valsalva leak point pressure (mmhg)
urodynamics parameters UPP
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; urethral pressure profile (UPP)
urodynamics parameters abdominal leak point pressure
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; abdominal leak point pressure (mmhg)
urodynamics parameters P det
Time Frame: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P detrusitor (P det) (mmhg)