Urinary incontinence. Unintentional urinary loss.
Conditions
Interventions
Intervention: stress urinary incontinence therapy based on history, clinical
examination, pad test and 48h voiding diary versus therapy based on the same
parameters AND urodynamic findings
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All women, not previously operated for stress incontinence, seeking help for urinary stress incontinence where conservative therapy in particular physiotherapy has failed and are opting and candidates for surgical therapy can participate in the study. Incontinence must have been demonstrated on physical examination and/or micturition diary. Patients can be included by gynaecologists or urologists who are cooperating in the study.
Exclusion criteria
Exclusion criteria: Women with a history of urge incontinence. Women with previous urinary incontinence surgery. Women incapable to read and speak Dutch. Women not giving informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome: Non inferiority of the improvement of the UDI one year after treatment in the non urodynamics group. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes: Cure of incontinence as measured with pad test and voiding diary. Complications of surgery for stress incontinence in particular re-operation and overactive bladder symptoms of quality of life as measured by validated questionnaires. | — |
Countries
Netherlands
Outcome results
None listed