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Incontinence Surgery and Urodynamics Parameters

9 juni 2020 uppdaterad av: Pınar Kadirogulları, Kanuni Sultan Suleyman Training and Research Hospital

In Patients Who Underwent Incontinence Surgery and Who Had Postoperative Recurrence Comparison of Urodynamics Parameters Performed in Preoperative and Postoperative Period

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.

Studieöversikt

Status

Avslutad

Betingelser

Studietyp

Observationell

Inskrivning (Faktisk)

210

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Istanbul, Kalkon, 33404
        • Kanuni Sultan Suleyman Training and Research Hospital

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 65 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

N/A

Kön som är behöriga för studier

Kvinna

Testmetod

Sannolikhetsprov

Studera befolkning

The files of the patients will be accessed through the system, and patients who have had incontinence surgery and applied again due to recurrence will be selected. The data of these patients will be scanned and recorded. The control group will also be created in the same way, and data of patients who have undergone surgery and have no urinary incontinence and who have postoperative urodynamics will be recorded. .

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Observationsmodeller: Case-Control
  • Tidsperspektiv: Retrospektiv

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
post-operative urinary incontinents
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.

Urodynamics evaluation is performed in the preoperative period in patients whose operation is planned due to incontinence.

Urodynamics evaluation is performed again in patients who applied with postoperative relapse due to surgery failure or different reasons.

It will be shown whether there is a difference between the urodynamics parameters of preoperatively examined patients and those of urodynamics examined in case of postoperative failure.

without postoperative urinary incontinence
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.

Urodynamics evaluation is performed in the preoperative period in patients whose operation is planned due to incontinence.

Urodynamics evaluation is performed again in patients who applied with postoperative relapse due to surgery failure or different reasons.

It will be shown whether there is a difference between the urodynamics parameters of preoperatively examined patients and those of urodynamics examined in case of postoperative failure.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
urodynamics parameters V max
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; V max (voiding speed) cm3
5 YEARS
urodynamics parameters bladder complians
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; bladder complians
5 YEARS
urodynamics parameters valsalva leak point pressure
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; valsalva leak point pressure (mmhg)
5 YEARS
urodynamics parameters abdominal leak point pressure
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; abdominal leak point pressure (mmhg)
5 YEARS
urodynamics parameters P det
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P detrusitor (P det) (mmhg)
5 YEARS
urodynamics parameters P abd
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P abdominal (P abd) (mmhg)
5 YEARS
urodynamics parameters P urethral
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P urethral (mmhg)
5 YEARS
urodynamics parameters UPP
Tidsram: 5 YEARS
urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; urethral pressure profile (UPP)
5 YEARS

Samarbetspartners och utredare

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Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 januari 2015

Primärt slutförande (Faktisk)

1 januari 2020

Avslutad studie (Faktisk)

1 juni 2020

Studieregistreringsdatum

Först inskickad

5 juni 2020

Först inskickad som uppfyllde QC-kriterierna

9 juni 2020

Första postat (Faktisk)

11 juni 2020

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

11 juni 2020

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

9 juni 2020

Senast verifierad

1 juni 2020

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • ATADEK / 2020.06

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