Incontinence Surgery and Urodynamics Parameters

Kanuni Sultan Suleyman Training and Research Hospital210 enrolled

Overview

In patients who have previously had incontinence surgery due to stress incontinence (Midurethral slings (tvt, tot, etc.)), the symptoms may return in the following years and the patient can reapply with urinary incontinence. Urodynamic evaluation is important before stress incontinence surgery to confirm clinical diagnosis based on symptoms and findings and to determine the factors that may affect the effectiveness of surgery and the possibility of complications. Urodynamics evaluation is performed in the preoperative period in patients scheduled for incontinence. Urodynamics evaluation is performed again in patients who applied with post-operative recurrence due to surgery failure or different reasons. It is aimed to show whether there is a difference between the urodynamics parameters of these patients who were examined preoperatively and the urodynamics parameters examined in case of postoperative failure. Thus, the primary goal; to show which of these parameters has deterioration or if the surgical method is insufficient if it is within certain limits or urinary incontinence may recur.

Study Type

OBSERVATIONAL

Enrollment

210

Conditions

Incontinence Surgery

Interventions

Urodynamics evaluation is performed in the preoperative period in patients whose operation is planned due to incontinence. Urodynamics evaluation is performed again in patients who applied with postoperative relapse due to surgery failure or different reasons. It will be shown whether there is a difference between the urodynamics parameters of preoperatively examined patients and those of urodynamics examined in case of postoperative failure.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who have previously undergone surgery for stress incontinence * Those who are symptomatic again in their post-operative follow-up (urinary incontinence), * Patients who underwent preoperative and postoperative urodynamics Exclusion Criteria: * Those with chronic diseases or medications that may cause urinary incontinence * Patients with mixed or urge incontinence * Patients who are not symptomatic postoperatively

Outcomes

Primary Outcomes

urodynamics parameters V max

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; V max (voiding speed) cm3

Time frame: 5 YEARS

urodynamics parameters bladder complians

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; bladder complians

Time frame: 5 YEARS

urodynamics parameters valsalva leak point pressure

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; valsalva leak point pressure (mmhg)

Time frame: 5 YEARS

urodynamics parameters abdominal leak point pressure

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; abdominal leak point pressure (mmhg)

Time frame: 5 YEARS

urodynamics parameters P det

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P detrusitor (P det) (mmhg)

Time frame: 5 YEARS

urodynamics parameters P abd

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P abdominal (P abd) (mmhg)

Time frame: 5 YEARS

urodynamics parameters P urethral

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P urethral (mmhg)

Time frame: 5 YEARS

urodynamics parameters UPP

urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; urethral pressure profile (UPP)

Time frame: 5 YEARS

Incontinence Surgery and Urodynamics Parameters

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes