Urinary Incontinence, Stress Clinical Trial
Official title:
Development and Evaluation of a New Diagnostic Test in Female Urinary Stress Incontinence
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.
;
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