The investigators hypothesize that an innovative test device simulating transvaginal tape support will increase the performance and reproducibility of the diagnosis of urethral hypermobility before surgery for urinary incontinence. The main objective of this study is to compare two prognostic tests in their ability to predict the success (or failure) of the implementation of a suburethral TVT (tension-free vaginal tape) or TOT (trans-obturator tape) treatment for stress urinary incontinence in women. The Q-tip test (test mentioned in the French and international recommendations) is compared to test a new test (clip strip).
Secondary objectives include: * Compare the prognostic ability of the clip strip test with the Bonney maneuver * Compare the prognostic ability of the clip strip test with the TVT maneuver * Compare the maximum intraurethral pressure during various tests * Compare the quality of life before / after surgery * Estimate patient satisfaction one year after surgery * Describe the intra and inter-operator reproducibility of various prognostic tests. * Estimate the optimal threshold of the Q-tip angle based on surgical results and compare with the reference threshold of 30 ° found in the literature.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
7
Q-tip test, Bonney maneuver, TVT maneuver, clip strip test
CHU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, Gard, France
CH de Dignes les Bains
Digne-les-Bains, France
McNemar Score: Comparison of Q-tip test and clip strip test results with surgical results
McNemar test for comparing sensitivity and specificity between two factors
Time frame: 58-60 weeks
McNemar Score: Comparison of Q-tip test and clip strip test results with surgical results
McNemar test for comparing sensitivity and specificity between two factors
Time frame: 2-4 weeks
McNemar Score: Comparison of Q-tip test and clip strip test results with surgical results
McNemar test for comparing sensitivity and specificity between two factors
Time frame: 6-8 weeks
Positive Bonney maneuver
yes/no
Time frame: 2-4 weeks
Positive Bonney maneuver
yes/no
Time frame: 6-8 weeks
Positive TVT maneuver
yes/no
Time frame: 2-4 weeks
Positive TVT maneuver
yes/no
Time frame: 6-8 weeks
McNemar Score: Clip strip test versus Bonney maneuvre
Comparison of the prognostic capacities of the clip strip and Bonney maneuver tests. McNemar test for comparing sensitivity and specificity between two factors
Time frame: 58-60 weeks
McNemar Score: Clip strip test TVT Bonney maneuvre
Comparison of the prognostic capacities of the clip strip and TVT maneuver tests. McNemar test for comparing sensitivity and specificity between two factors
Time frame: 58-60 weeks
Intra-urethral pressure during the Bonney maneuver
mm Hg
Time frame: 2-4 weeks
Intra-urethral pressure during the Bonney maneuver
mm Hg
Time frame: 6-8 weeks
Intra-urethral pressure during the TVT maneuver
mm Hg
Time frame: 6-8 weeks
Intra-urethral pressure during the TVT maneuver
mm Hg
Time frame: 2-4 weeks
Intra-urethral pressure during the clip strip test
mm Hg
Time frame: 2-4 weeks
Intra-urethral pressure during the clip strip test
mm Hg
Time frame: 6-8 weeks
UDI-6 questionnaire
Time frame: 2-4 weeks
UDI-6 questionnaire
Time frame: 12-14 weeks
UDI-6 questionnaire
Time frame: 58-60 weeks
IIQ7 questionnaire
Time frame: 2-4 weeks
IIQ7 questionnaire
Time frame: 12-14 weeks
IIQ7 questionnaire
Time frame: 58-60 weeks
PGI-I Questionnaire
Time frame: 58-60 weeks
Intra- and inter operator reproducability for 4 diagnostic tests
Bonney maneuver, q-tip test, tvt maneuver and clip strip test
Time frame: 2-4 weeks
Intra- and inter operator reproducability for 4 diagnostic tests
Bonney maneuver, q-tip test, tvt maneuver and clip strip test
Time frame: 6-8 weeks
Angle associated with Q-tip test
Time frame: 2-4 weeks
Angle associated with Q-tip test
Time frame: 6-8 weeks
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