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Prospective randomized comparison of minisling (altis) with the TVTO procedure for the management of women with genuine stress urinary incontinence.
Prospective randomized study double blinded. Two group of patients consisting group A of 40 patients being operated with altis minisling and group B with 40 patients operated with TVTO procedure. All patients will be operated with epidural anesthesia.
The patients participating in the study will meet the following requirements. a. Having genuine stress urinary incontinence proven by urodynamics, b. be willing to be operated and participate in the study. Exclusion criteria wil be the following: a.History of previous irradiation in the lower genital tract, b. BMI more than 30kg/m2, c.previous anti-incontinence surgery, previous vaginal surgery, e. having MUCP< 20 cm H2O or Valsava leak point pressure less than than 60 cm H2O.
Patients will be allocated in each operation by an automatic system using a computer software.
Primary outcome measure will be the objective cure rate at 6 months as it is assessed with cough stress test during urodynamics. Secondary outcome measures will be the subjective cure rate, improvement and failure rate, the incidence of complications such as obstruction, voiding difficulties, hemorrhage etc. Patients will be asked to complete preoperatively and postoperatively the ICIQ-FLUTS, patient satisfaction questionnaire and the female sexual function index.postoperatively the patients will complete the PGI-I questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group A | Active Comparator | Altis tape surgical placement |
|
| group B | Placebo Comparator | TVT transobturator tape placement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Altis tape | Procedure | placement of Altis tape through transobturator foramen bilaterally under epidural anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| the objective urinary continence rate at 12 months | Primary outcome measure will be the objective urinary continence rate at 12 months as it is assessed with cough stress test during urodynamics. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective urinary continence rate at 12 months follow up | Secondary outcome measure will be the subjective continence rate as it is assessed with the use of the PGI-I questionnaire. | 1year |
| Preoperative and postoperative assessment of sexual function |
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Inclusin Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| PANAGIOTIS VAKAS | Contact | 2107473204 | P_BAKAS@YAHOO.COM | |
| Emmanouil papadakis, Dr | Contact | 6944864531 | papadakisemm2@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| PANAGIOTIS VAKAS | aretaieio university hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aretaieio University Hospital | Recruiting | Athens | Attica | 11528 | Greece |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37888839 | Derived | Carter E, Johnson EE, Still M, Al-Assaf AS, Bryant A, Aluko P, Jeffery ST, Nambiar A. Single-incision sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2023 Oct 27;10(10):CD008709. doi: 10.1002/14651858.CD008709.pub4. |
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| ID | Term |
|---|---|
| D014550 | Urinary Incontinence, Stress |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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prospective randomised
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they will not be aware of the procedure they are going to perform or have.
| TVTO | Procedure | placement of TVTO tape through transobturator foarmen bilaterally under epidural anesthesia |
|
Patients will be asked to complete preoperatively and postoperatively the female sexual function index. Minimum score 2.0 and maximum score 36.0. Higher values represent a better outcome. |
| 1 year |
| 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 |