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The aim is to compare outcomes of two different procedures to prevent occult stress urinary incontinence (SUI) in patients who are having pelvic organ prolapse surgeries
The aim is to compare outcomes of two different procedures to prevent occult stress urinary incontinence (SUI) in patients who are having pelvic organ prolapse surgeries. Charts will be reviewed for patients who had single- incision sling or urethral bulking injection with other prolapse surgeries to address occult stress incontinence at The Christ Hospital from the period of January 2019 to June 2021. Patients who didn't have any occult stress incontinence pre-operatively and didn't receive any anti-incontinence procedure during their prolapse surgery will be included as a control group. Surgical details, adverse events and postoperative voiding times will be collected from the chart. Patients will be contacted by a telephone to administer a validated questionnaire; a 3-day bladder diary to quantify urinary incontinence will be send to the patient to complete and return by mail.
The purpose of the study is to investigate whether urethral bulking is as effective as single- incision sling in treating occult stress incontinence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single incision sling group | The patient will receive Altis mini-incision sling for treatment of occult SUI |
| |
| Urethral bulking group | The patient will receive Bulkamid urethral bulking agent for treatment of SUI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single incision sling | Device | Single incision sling is used to treat occult SUI |
|
| Measure | Description | Time Frame |
|---|---|---|
| Urinary Distress Inventory, Short Form (UDI-6) | one year after surgery | |
| Incontinence Impact Questionnaire, Short Form (IIQ-7) | one year after surgery | |
| Voiding diary | one year after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| The rate of complications in both groups which includes adverse events, rate of urine retention with prolonged catheterization, and UTI. | one year after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with advanced prolapse and preoperative evaluation showed occult stress incontinence
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| Name | Affiliation | Role |
|---|---|---|
| Ahmed Abdelaziz | The Christ Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Christ Hospital | Cincinnati | Ohio | 45219 | United States |
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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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| Bulkamid bulking agent | Drug | Urethral bulking by Bulkamid is used to treat occult SUI |
|
| 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 |