In this proposed study, the investigators aim to evaluate a modified suture urethropexy technique for the treatment of female stress urinary incontinence. Participants will be followed with postoperative visits after 2 weeks, 2 months, and 12 months. Pelvic floor ultrasound imaging will be performed before surgery and after 2 months and 12 months, to evaluate urethral mobility.
This study is designed as a prospective observational study. The hypothesis is that suture urethropexy will improve stress urinary incontinence symptoms in participants with stress urinary incontinence and normal urethral closure pressure at 2 months and 12 months after surgery. Specific Aims: Aim 1: Investigate the efficacy of this mesh-free suture based surgical technique for improving SUI symptoms Aim 2: Investigate the efficacy of this mesh-free suture based surgical technique on key urethral support defects observed with 3D ultrasound
Study Type
OBSERVATIONAL
Enrollment
15
Suture based (Mesh-free) surgery to stabilize the urethra for the treatment of stress urinary incontinence
NorthShore University HealthSystem
Skokie, Illinois, United States
Stress urinary incontinence symptoms
Severity of stress urinary incontinence symptoms by questionnaire
Time frame: 2 weeks
Stress urinary incontinence symptoms
Severity of stress urinary incontinence symptoms by questionnaire
Time frame: 3 months
Stress urinary incontinence symptoms
Severity of stress urinary incontinence symptoms by questionnaire
Time frame: 12 months
Voiding dysfunction
Rate of urinary retention after surgery
Time frame: Within 1 year of surgery
Distal Urethral Motion
Distal urethral swing angle during Valsalva measured via pelvic ultrasound
Time frame: 2 months
Distal Urethral Motion
Distal urethral swing angle during Valsalva measured via pelvic ultrasound
Time frame: 12 months
Proximal Urethral Motion
Proximal urethral swing angle during Valsalva measured via pelvic ultrasound
Time frame: 2 months
Proximal Urethral Motion
Proximal urethral swing angle during Valsalva measured via pelvic ultrasound
Time frame: 12 months
Post-operative complications
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Rate of post-operative complications
Time frame: Within 1 year of surgery