Short-Term Outcomes of TOT, TVT, and Burch Surgery Assessed by Transperineal Ultrasound

Zeynep Kamil Maternity and Pediatric Research and Training Hospital80 enrolled

Overview

Stress urinary incontinence is a common condition in women and is often treated with surgical procedures such as transobturator tape (TOT), tension-free vaginal tape (TVT), and Burch colposuspension. Although these procedures are widely used, there is limited information comparing their short-term anatomical and patient-reported outcomes using imaging techniques. The aim of this study is to compare the short-term anatomical and subjective outcomes of TOT, TVT, and Burch colposuspension in women with stress urinary incontinence. Transperineal ultrasonography will be used to assess anatomical changes before surgery and during follow-up. Patient-reported outcomes and clinical findings will also be evaluated. The results of this study may help improve the understanding of surgical outcomes in stress urinary incontinence and support clinical decision-making.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Stress Urinary Incontinence in Women Pelvic Floor Disorders

Interventions

Transobturator Tape (TOT) ProcedurePROCEDURE

Placement of a synthetic tape beneath the mid-urethra via the transobturator route.

Tension-Free Vaginal Tape (TVT) ProcedurePROCEDURE

Placement of a synthetic tape beneath the mid-urethra using a retropubic approach.

Burch Colposuspension ProcedurePROCEDURE

Suspension of the anterior vaginal wall to the iliopectineal (Cooper's) ligament using non-absorbable sutures.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Female patients aged 18 years or older * Diagnosis of stress urinary incontinence based on clinical evaluation * Candidates for surgical treatment with transobturator tape (TOT), tension-free vaginal tape (TVT), or Burch colposuspension * Ability to provide written informed consent * Willingness to participate in the study and comply with follow-up visits Exclusion Criteria: * Mixed or urge-predominant urinary incontinence * Previous anti-incontinence or pelvic floor surgery * Neurogenic bladder disorders * Active urinary tract infection at the time of evaluation * Pregnancy or planned pregnancy during the study period * Known pelvic malignancy * Inability to undergo transperineal ultrasonographic evaluation

Outcomes

Primary Outcomes

Change in Urethrovesical and Urethral Angles Assessed by Transperineal Ultrasound

The primary outcome is the change in urethrovesical and urethral angles measured by transperineal ultrasonography before surgery and at 3 months after surgery.

Time frame: Baseline (preoperative) and 3 months postoperatively

Secondary Outcomes

Subjective Improvement in Stress Urinary Incontinence Symptoms

Subjective outcomes were assessed using the Urogenital Distress Inventory-Short Form (UDI-6) and the Incontinence Impact Questionnaire-Short Form (IIQ-7). For both scales, scores range from 0 to 100, where higher scores indicate a greater impact of symptoms and worse quality of life.

Time frame: Baseline and 3 months postoperatively