Urinary Stress Incontinence
Conditions
Keywords
Urinary incontinence, Materials, Surgery, Transobturator tape, Polyvinylidene fluoride, Polypropylene
Brief summary
This study evaluates the effectiveness and complications of polyvinylidene fluoride (PVDF) and polypropylene (PP) transobturator suburethral tapes (TOTs) in the treatment of female stress urinary incontinence. Half of participants will be operated with PVDF-TOTs, while the other half will be operated with PP ones.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Women with stress urinary incontinence. * Women with stress-predominant mixed urinary incontinence.
Exclusion criteria
* Incapacity to understand the information or give their consent. * Previous anti-incontinence surgery with slings. * Low pressure urethra (MUCP \< 20cmH2O). * Neurogenic bladder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness | One year | Percentage of patients who are regarded as cured or improved one-year after surgery with both techniques based on the following criteria: * CURED: negative cough stress test and patient must be fully satisfied with the operation (no leaks, no voiding dysfunction, and no use of urinary protection); Patient Global Impresison of Improvement (PGI-I) scale must be Very much better. * IMPROVED: cough stress test had to be negative and the patient moderately satisfied with the result of surgery due to an increase in urinary frequency and/or sporadic urgency episodes; PGI-I must be Much better or A little better. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events | Up to one year. | Comparison of the intra- and postoperative complications between both procedures. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in subjective questionnaires of incontinence severity | One year | Change in the punctuation of the following questionnaires comparing before surgery and one year after operation: * International consultation on Incontinence Urinary Questionnaire-Short Form (ICIQ-SF). * Sandvik severity index. |
Countries
Spain