A Comparison of the Retropubic (TVT) With the Transobturator Sling Operation in the Treatment of Female Stress Urinary Incontinence or Stress Dominated Mixed Urinary Incontinence
NCT00642109 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 160
Last updated 2015-07-28
Summary
The midurethral tension-free vaginal tape (a macroporous polypropylene mesh) procedure is a well established technique for treating female stress urinary incontinence in patients with (hyper)mobile urethra. Postoperative continence rates are achieved in up to 95%. Currently, several anatomical approaches are developed and investigated to simplify this minimal invasive technique and make it safer. While the retropubic approach consists of the passage of the needles from under the midurethra up behind the pubic bone through the cavum retzii, the transobturator technique traverses the foramina obturatoria. Intraoperative complications like bladder perforation (in 4%) can be treated conservatively, while postoperative complications like voiding dysfunction (urinary outlet obstruction in up to 16% or urinary retention) are troublesome, impair the quality of life and require occasionally surgical sling release (transection of the sling). The aim of this study is to compare quality of life, postoperative voiding dysfunction, success rates and tape position after retropubic and transobturator sling procedure.
* Trial with surgical intervention
Conditions
- Stress Urinary Incontinence
Interventions
- PROCEDURE
-
midurethral sling procedure
quality of life, voiding dysfunction
Sponsors & Collaborators
-
University of Zurich
collaborator OTHER -
David Scheiner
lead OTHER
Principal Investigators
-
01 Studienregister MasterAdmins · UniversitaetsSpital Zuerich
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-01-31
- Primary Completion
- 2010-09-30
- Completion
- 2010-10-31
Countries
- Switzerland
Study Locations
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