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The trans-obturator tape (TOT), which exhibits a satisfactory cure rate and a relatively diminished invasiveness, has been increasingly accepted as a surgical treatment of stress urinary incontinence (SUI) patients. Nevertheless, in contrast to the well-recognized therapeutic benefit of the enhanced resistance to the bladder continence during urine storage, if the voiding function of the bladder adapts to the TOT-enhanced outlet resistance has not been adequately investigated. This study retrospectively assayed the voiding efficacy of each voiding cycle, to clarify if the thermodynamic efficacy of the bladder was modified in response to the TOT surgery.
The urodynamic study included free uroflowmetry, postvoid residual, filling and voiding cystometry, and a urethral pressure profile. The filling cystometry and urethral pressure profile were performed with 37 degrees C normal saline similar to body temperature at an infusion rate of 80 ml/min. All patients received a pre- and a post-operative urodynamic evaluation, in which pre-operative evaluation was conducted 1-4 weeks before TOT procedure, and post-operative evaluation was done at 4-6 weeks follow-up.
Complete multichannel urodynamic studies including free uroflowmetry, filling and voiding cystometry, and urethral pressure profile was performed in each patient. The urodynamic parameters measured were the maximum flow rate (Qmax), voided volume, post-void residual volume (PVR), and detrusor pressure at Qmax (Pdet. Qmax). The filling cystometry and urethral pressure profile were performed with 37 degrees C normal saline at an infusion rate of 80 ml/min. All data were recorded and analyzed using a Medical Measurement Systems (MMS UD-200, Enschede, The Netherlands). All data in this study will be expressed as mean ± SEM. After checking the normality and variance of data, two-way ANOVAs were used to assess the difference in values among testing groups and time points; and post hoc Student-Newman-Keuls tests were used to compare the means of groups when there was a significant difference between groups. Significance was set at p<0.05.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before TOT | Experimental | Data obtained before the operation |
|
| After TOT | Experimental | Data obtained after the operation |
|
| Before TVT-O | Experimental | Data obtained before the operation. |
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| After TVT-O | Experimental | Data obtained after the operation. |
|
| Aged patient (>50 y/o) before TVT-O | Experimental | Data obtained before the operation. |
|
| Aged patient (>50 y/o) after TVT-O |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Urodynamic investigations before and after a trans-obturator tape protocol. | Procedure | Urodynamic investigations (The urodynamic study included free uroflowmetry, postvoid residual, filling and voiding cystometry, and a urethral pressure profile. The filling cystometry and urethral pressure profile were performed with 37 degrees C normal saline similar to body temperature at an infusion rate of 80 ml/min.) |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure-volume study | urine leakage. | within a voiding cycle (a cycle is about 30 to 60 minutes) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hui-Hsuan Lau, M.D. | Contact | +886-975-835928 | huihsuan1220@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Yi-Shing Leu, M.D. | Department of Ear, Nose, and Throat, MacKay Memorial Hospital, Taipei, Taiwan | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Obstetrics and Gynecology | Recruiting | New Taipei City | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30106223 | Background | Abrams P, Andersson KE, Apostolidis A, Birder L, Bliss D, Brubaker L, Cardozo L, Castro-Diaz D, O'Connell PR, Cottenden A, Cotterill N, de Ridder D, Dmochowski R, Dumoulin C, Fader M, Fry C, Goldman H, Hanno P, Homma Y, Khullar V, Maher C, Milsom I, Newman D, Nijman RJM, Rademakers K, Robinson D, Rosier P, Rovner E, Salvatore S, Takeda M, Wagg A, Wagner T, Wein A; members of the committees. 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: EVALUATION AND TREATMENT OF URINARY INCONTINENCE, PELVIC ORGAN PROLAPSE AND FAECAL INCONTINENCE. Neurourol Urodyn. 2018 Sep;37(7):2271-2272. doi: 10.1002/nau.23551. Epub 2018 Aug 14. No abstract available. | |
| 11857671 |
| Label | URL |
|---|---|
| Reported complications of tension-free vaginal tape procedures: A review | View source |
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For we uncertain if this might violate personal information laws in our country.
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| Experimental |
Data obtained after the operation. |
|
| Young patients (<50 y/o) before TVT-O | Experimental | Data obtained before the operation. |
|
| Young patients (<50 y/o) after TVT-O | Experimental | Data obtained after the operation. |
|
| Menopausal patient before TVT-O | Experimental | Data obtained before the operation. |
|
| Menopausal patient after TVT-O | Experimental | Data obtained after the operation. |
|
| Pre-menopausal patient before TVT-O | Experimental | Data obtained before the operation. |
|
| Pre-menopausal patients after TVT-O | Experimental | Data obtained after the operation. |
|
| Before i-STOP | Experimental | Data obtained before the operation. |
|
| After i-STOP | Experimental | Data obtained after the operation. |
|
| Aged patient before i-STOP | Experimental | Data obtained before the operation. |
|
| Aged patient after i-STOP | Experimental | Data obtained after the operation. |
|
| Young patient before i-STOP | Experimental | Data obtained before the operation. |
|
| Young patient after i-STOP | Experimental | Data obtained after the operation. |
|
| Menopausal patient before i-STOP | Experimental | Data obtained before the operation. |
|
| Menopausal patient after i-STOP | Experimental | Data obtained after the operation. |
|
| Pre-menopausal patient before i-STOP | Experimental | Data obtained before the operation. |
|
| Pre-menopausal patient after i-STOP | Experimental | Data obtained after the operation. |
|
| Before mini Arc | Experimental | Data obtained before the operation. |
|
| After mini Arc | Experimental | Data obtained after the operation. |
|
| Age patient before mini Arc | Experimental | Data obtained before the operation. |
|
| Age patient after mini Arc | Experimental | Data obtained after the operation. |
|
| Young before mini Arc | Experimental | Data obtained before the operation. |
|
| Young patient after mini Arc | Experimental | Data obtained after the operation. |
|
| Menopausal patient before mini Arc | Experimental | Data obtained before the operation. |
|
| Menopausal patient after mini Arc | Experimental | Data obtained after the operation. |
|
| Pre-menopausal before mini Arc | Experimental | Data obtained before the operation. |
|
| Pre-menopausal patient after mini Arc | Experimental | Data obtained after the operation. |
|
| Before Solyx sling | Experimental | Data obtained before the operation |
|
| After Solyx sling | Experimental | Data obtained before the operation |
|
|
| Urodynamic investigations before and after a tension-free vaginal tape-obturator (TVT-O) | Procedure | Urodynamic investigations (stated above.) |
|
| Urodynamic investigations before and after a mini Arc protocol. | Procedure | Urodynamic investigations (stated above) |
|
| Urodynamic investigations before and after an i-STOP mini adjustable sling protocol. | Procedure | Urodynamic investigations (stated above) |
|
| Urodynamic investigations before and after an Solyx sling protocol. | Procedure | Urodynamic investigations (stated above.) |
|
| Background |
| Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78. doi: 10.1002/nau.10052. No abstract available. |
| 12559262 | Background | Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-Committee of the International Continence Society. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003 Jan;61(1):37-49. doi: 10.1016/s0090-4295(02)02243-4. No abstract available. |
| 19802500 | Background | Atis G, Arisan S, Ozagari A, Caskurlu T, Dalkilinc A, Ergenekon E. Tissue reaction of the rat urinary bladder to synthetic mesh materials. ScientificWorldJournal. 2009 Oct 2;9:1046-51. doi: 10.1100/tsw.2009.120. |
| 14644127 | Background | de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003 Dec;44(6):724-30. doi: 10.1016/j.eururo.2003.09.003. |
| 33468403 | Background | Hsiao SM, Kuo HC. Predictors of further anti-incontinence interventions or transvaginal urethrolysis after a pubovaginal sling procedure in women with and without neurologic disorders. J Formos Med Assoc. 2021 Jul;120(7):1464-1477. doi: 10.1016/j.jfma.2020.12.029. Epub 2021 Jan 16. |
| 29673676 | Background | Huang WC, Lau HH, Su TH. Did surgical failure and complications affect incontinence-related quality of life in women after transobturator sling procedure? Taiwan J Obstet Gynecol. 2018 Apr;57(2):295-299. doi: 10.1016/j.tjog.2018.02.020. |
| 26950893 | Background | Medina CA, Costantini E, Petri E, Mourad S, Singla A, Rodriguez-Colorado S, Ortiz OC, Doumouchtsis SK. Evaluation and surgery for stress urinary incontinence: A FIGO working group report. Neurourol Urodyn. 2017 Feb;36(2):518-528. doi: 10.1002/nau.22960. Epub 2016 Mar 7. |
| 24487005 | Background | Schimpf MO, Rahn DD, Wheeler TL, Patel M, White AB, Orejuela FJ, El-Nashar SA, Margulies RU, Gleason JL, Aschkenazi SO, Mamik MM, Ward RM, Balk EM, Sung VW; Society of Gynecologic Surgeons Systematic Review Group. Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis. Am J Obstet Gynecol. 2014 Jul;211(1):71.e1-71.e27. doi: 10.1016/j.ajog.2014.01.030. Epub 2014 Jan 30. |
| 8798092 | Background | Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):81-5; discussion 85-6. doi: 10.1007/BF01902378. |
| 17728052 | Background | Waltregny D, Gaspar Y, Reul O, Hamida W, Bonnet P, de Leval J. TVT-O for the treatment of female stress urinary incontinence: results of a prospective study after a 3-year minimum follow-up. Eur Urol. 2008 Feb;53(2):401-8. doi: 10.1016/j.eururo.2007.08.021. Epub 2007 Aug 21. |
| 36061421 | Derived | Lau HH, Lai CY, Peng HY, Hsieh MC, Su TH, Lee JJ, Lin TB. Modification of bladder thermodynamics in stress urinary incontinence patients submitted to trans-obturator tape: A retrospective study based on urodynamic assessment. Front Bioeng Biotechnol. 2022 Aug 19;10:912602. doi: 10.3389/fbioe.2022.912602. eCollection 2022. |
| ID | Term |
|---|---|
| D014550 | Urinary Incontinence, Stress |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| 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 |
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