Stress Urinary Incontinence
Conditions
Brief summary
Urinary incontinence which is a major health issue in women affects 30-40% of older women. Surgical treatments for SUI have undergone many modifications in the last century. The Needleless Sling System is a one incision, minimally invasive, surgical procedure that has had great acceptance in Europe and has recently received FDA Clearance for use in the United States. We will evaluate effectiveness and patient reported outcomes for Needleless® sling system (Neomedic International). This is a prospective, multicenter, registry. Up to 150 women will be enrolled from up to 3 registry sites. Patients will be evaluated at baseline, peri-operatively, and post-operatively up to 2 months, up to 6 months and at 12 months. Effectiveness evaluations will include a standing stress test (objective cure), SANDVIK questions (subjective cure) & I-QOL (quality of life measure). Other evaluations will include type of anesthesia, concurrent surgery, operative time, post-operative pain, length of hospital stay, returning to usual activities, change of lower urinary tract symptoms (BFLUTSSF, voiding diaries), goal achievement and patient satisfaction.
Interventions
PROCEDURENeedleless mid-urethral sling
The Needleless® sling is intended for use in women as a tension free, sub-urethral slings for the treatment of SUI resulting from urethral hypermobility and/or intrinsic sphincter deficiency. The Needleless sling is a macroporous, monofilament, knitted polypropylene featuring 'Pocket Positioning Anchors' which allow sling placement without needle introducers; thus eliminating a complicated aspect of the surgery (TVT/TOT) and reducing the potential for bladder injury or inguinal pain that can occur during transobturator needle passage. The Needleless sling was approved by KFDA, and now is available in worldwide including Korea.
Sponsors
Samsung Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
A patient must satisfy the following criteria before entering the study: 1. Patient has objective demonstrable signs of stress urinary incontinence (SUI), including patients with ISD. Objective testing includes: standing stress test, urodynamics evaluation, or pad test. 2. Patient is age 18 or older. 3. Patient had a hysterectomy, tubal ligation or is otherwise incapable of pregnancy, or had a negative pregnancy test prior to study entry and has decided to cease childbearing. 4. Patient agrees to participate in the study, including completion of all study-related procedures and evaluations, and documents this agreement by signing the IRB/EC-approved informed consent.
Exclusion criteria
* A patient who meets any of the following criteria will be excluded from participating in the study: 1. Patient has an associated or suspected neurological disease. 2. Patient is on anti-coagulation therapy. 3. Patient has received an investigational drug or device in the past 60 days. 4. Patient has an active lesion or present injury to perineum or urethra. 5. Patient has a urethral obstruction. 6. Patient has a significant cystocele \> ICS Stage 2. 7. The subject has active infection upon urine dipstick analysis, defined as ≥ +1 leukocytes or ≥ +1 nitrates (Must reschedule appointment after UTI resolves.) 8. Patients with combined POP surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The result of standing cough stress test at 12 months. | 12 months after the Needleless sling operation |
Secondary
| Measure | Time frame |
|---|---|
| Subjective symptom assessment by visual analogue scale | 2, 6, 12 months after the Needleless sling operation |
| Post-Operative Pain Assessment | postop, 2 months after the Needleless sling operation |
| Return to Usual Activities Questionnaire | 2 months after the Needleless sling operation |
| Sandvik Index Questionnaire | 2, 6, 12 months after the Needleless sling operation |
| Incontinence Quality of Life Questionnaires (I-QOL) | 6, 12 months after the Needleless sling operation |
| BFLUTS-SF questionnaire | 6, 12 months after the Needleless sling operation |
| Patient Satisfaction Questionnaire | 12 months after the Needleless sling operation |
| Standing Cough Stress Test | 6, 12 months after the Needleless sling operation |
Countries
South Korea
Outcome results
None listed