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Urinary incontinence is a very common problem in women and can be seen at any age. Laparoscopic burch operation has been shown to be an effective, convenient and safe method in women with stress incontinence. Laparoscopic Burch operation is less invasive because it is advantageous in terms of hospitalization time, blood loss, pain and recovery time, but the disadvantage is the procedure time. Modified extraperitoneal technique may be a good method for lowering the procedure time.
In the research; The pre- and postoperative urodynamics of patients who underwent laparoscopic extraperitoneal (modified) burch operation in the Gynecology and Obstetrics Clinic of Istanbul Health Sciences University Gaziosmanpasa Training and Research Hospital will be compared. Surgical outcomes together with complications will also be assessed.
In addition, the QUALITY OF LIFE (SF36), which determines the quality of life of the patients related to the urinary system functions, and the UROGENITAL DISTRESS INVENTORY (UDI - 6), INCONTINENCE IMPACT QUESTIONNAIRE (IIQ-7) questionnaires that determine the effects of urinary incontinence, will be assessed preoperatively and postoperative 6 months of the patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergone Laparoscopic Extraperitoneal Burch Colposuspension | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quality of Life QUESTIONNAIRE (SF36) | Procedure | Units of a scale of the patients will be compared pre and postoperatively by using SF36 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Surgical outcomes | Operation time in minutes | 1 year |
| Surgical outcomes | Bleeding volume in milliliter | 1 year |
| Preoperative and postoperative urodynamic result | First sensation of fluid filled in bladder in milliliter will be compared. | 1 year |
| Preoperative and postoperative urodynamic result | First urge sensation due to fluid filled in bladder in milliliter will be compared. | 1 year |
| Preoperative and postoperative urodynamic result | Maximum cystometric capacity in milliliter will be compared. | 1 year |
| Preoperative and postoperative urodynamic result | Compliance in milliliter/cmH2O will be compared. | 1 year |
| Preoperative and postoperative urodynamic result | Q max in milliliter/second will be compared. | 1 year |
| Preoperative and postoperative urodynamic result | Voided volume of the patients in milliliter will be compared. | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Suleyman Salman | Contact | +905059345470 | sleymansalman@gmail.com | |
| Fatma Ketenci Gencer | Contact | 05416116469 | fathma_k@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gaziosmanpasa Training and Research Hospital | Recruiting | Istanbul | Turkey (Türkiye) |
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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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Normally patients with stress urinary incontinence undergoes laparoscopic burch operation if transvaginal sling surgery was not planned. Here in our study group the assigned surgery type applied to study group is extraperitoneal ( modified) burch operation which is performed by not interfering with the abdominal cavity. By the way our study is an interventional study and it is planned to discuss both the anatomic and functional results of this technique.
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| INCONTINENCE IMPACT QUESTIONNAIRE (IIQ-7) | Procedure | Units of a scale of the patients will be compared pre and postoperatively by using IIQ-7 |
|
| UROGENITAL DISTRESS INVENTORY (UDI - 6) | Procedure | Units of a scale of the patients will be compared pre and postoperatively by using UDI - 6 |
|
| Preoperative and postoperative Quality of life Questionnaire | The domains assessed were pain, diet, speech, recreation, anxiety, mood, and overall QoL. Patients were asked to choose a Likert scale response (for example, 1 = no pain to 5 = severe pain) to a question on each domain and higher score represents better health. overall score ranges from 6 to 30. Pre and postoperative values will be compared. | 1 year |
| Preoperative and postoperative UROGENITAL DISTRESS INVENTORY | Score ranges from zero to 18 and higher scores indicate more severe symptoms and INCONTINENCE IMPACT QUESTIONNAIRE (IIQ-7) in which SCORES RANGES FROM 0 TO 21 AND a higher score indicates more severe symptoms and lower quality of life. Pre and postoperative values will be compared. | 1 year |
| Preoperative and postoperative INCONTINENCE IMPACT QUESTIONNAIRE | Scores ranges from 0 to 21 AND a higher score indicates more severe symptoms and lower quality of life. Pre and postoperative values will be compared. | 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 |