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Urge urinary incontinence can be a disorder caused by destroyed pelvic structures. We repaired the uteri-sacral ligaments (USL) by cesa or vasa. The study evaluates if solifenacin can lead to continence after surgery or if also the pubo-urethral ligaments (PUL) need to be repaired.
It was hypothesized that urge urinary incontinence in women is based on the destruction of the uteri-sacral ligaments (USL)and the pubourethral ligaments (PUL). In a preliminary study (URGE I) we repaired the USL by cesa or vasa. Those patients who are still incontinent after cesa and vasa get the repair of the PUL by means of trans-obturator tapes (TOT). That treatment is compared to conservative medical treatment. Cross over after completion of three months is possible if no continence is achieved.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| trans obturatorial tape (TOT) | Experimental | placement of a sub-urethral tape |
|
| solifenacin | Active Comparator | 10 mg per day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TOT | Procedure |
|
| |
| solifenacin |
| Measure | Description | Time Frame |
|---|---|---|
| cure of incontinence | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| improvement of urge symptoms | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wolfram H Jager, PhD | Contact | 0049221478 | 4900 | wolfram.jaeger@uk-koeln.de |
| Peter Mallmann, PhD | Contact | 0049221478 | 4940 | peter.mallmann@uk-koeln.de |
| Name | Affiliation | Role |
|---|---|---|
| Wolfram H Jager, PhD | Study Supervisor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Abt. Beckenbodenchirurgie der Universitäts-Frauenklinik Köln | Recruiting | Cologne | North Rhine-Westphalia | 50931 | Germany |
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| ID | Term |
|---|---|
| D053202 | Urinary Incontinence, Urge |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| D000069464 | Solifenacin Succinate |
| ID | Term |
|---|---|
| D011812 | Quinuclidines |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006571 | Heterocyclic Compounds |
| D044005 | Tetrahydroisoquinolines |
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| Drug |
|
|
| Abt. Beckenbodenchirurgie der Universitäts-Frauenklinik Köln | Recruiting | Cologne | North Rhine-Westphalia | 50931 | Germany |
|
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007546 | Isoquinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |