Surgical Management for Suburethral Slings
Prospective, Non-Randomized, Observational Trial of the Surgical Management for Suburethral Slings in Women With Stress Urinary Incontinence
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
The study will collect preoperative urologic testing, medical history, and subject quality of life patient questionnaires. Intraoperative procedural data will be collected.
Postoperative complications, urologic, testing, and subject questionnaires will be collected at intervals. The anatomic position of the device will be characterize by introital ultrasound testing.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Volker Viereck, Physican
- Phone Number: ++41 52 723 70 50
- Email: volker.viereck@stgag.ch
Study Contact Backup
- Name: Oliver Rautenberg, Physican
- Phone Number: ++41 52 723 77 45
- Email: oliver.rautenberg@stgag.ch
Study Locations
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Thurgau
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Frauenfeld, Thurgau, Switzerland, 8501
- Blasenzentrum, Cantonal Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient has objective demonstrable signs of stress urinary incontinence (SUI), including patients with intrinsic sphincter deficiency (ISD). Objective testing includes: standing stress test, urodynamics evaluation, or pad test.
- Patient is age 18 or older.
- Patient agrees to participate in the study, including completion of all study-related procedures and evaluations, and documents this agreement by signing the IRB/EC-approved informed consent.
- Patient is able to fill in all questionnaires (on judgement of investigator)
Exclusion Criteria:
- Patient has an associated or suspected neurological disease.
- Patient has an active lesion or present injury to perineum or urethra.
- Patient has a urethral obstruction.
- Patient has significant pelvic organ prolapse (Grade III/IV) requiring surgical treatment.
- The subject has current urinary tract infection.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
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Stress Urinary Incontinence
Females with stress urinary incontinence, who undergo a tension free surgical sling procedure.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cure/improvement rate
Time Frame: 3 months
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Patients are classified as cured if the postoperative cough test (see Outcome 4 below) is negative and the degree of subjective suffering (see Outcome 2 below) improves to over 90% (VAS score of 0 or 1).
Criteria for improvement are involuntary loss of only a few drops of urine during straining and an improvement of the degree of suffering to over 75% (VAS score of 2 or 3).
All other patients are classified as therapeutic failures (even if they show marked improvement of one of the parameters compared with their preoperative status).
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3 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Subjective symptom assessment by visual analogue scale
Time Frame: 3 and 6 months
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Scale: 0-10 (0-no suffering, 10-severe suffering)
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3 and 6 months
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Post-Operative Pain Assessment
Time Frame: 1 day
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Scale: 0-10 (0-no pain, 10-severe pain)
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1 day
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Standing Cough Stress Test
Time Frame: baseline, 3 and 6 months
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3 categories: negative/severe, if flow of urine is observed.
negative/mild, if the loss of only a few drops is observed.
positive, if no urine loss occurs.
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baseline, 3 and 6 months
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King Health Questionnaire
Time Frame: pre-operation, 3 and 6 months
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pre-operation, 3 and 6 months
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International Consultation on Incontinence Questionnaire
Time Frame: pre-operation, 3 and 6 months
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pre-operation, 3 and 6 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Volker Viereck, Physican, Cantonal Hospital, Frauenfeld
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urinary Incontinence
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Urinary Incontinence, Stress
Other Study ID Numbers
Other Study ID Numbers
- TVT 3D
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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