Urodynamic Stress Incontinence Clinical Trial
Official title:
A Randomized Study of the Treatment of Urodynamic Stress Incontinence: the Tension Free Vaginal Tape (TVT) Versus the Miniarc Sling.
Verified date | August 2009 |
Source | Medway NHS Foundation Trust |
Contact | n/a |
Is FDA regulated | No |
Health authority | United Kingdom: Research Ethics Committee |
Study type | Interventional |
The aim of this study is to assess whether the Miniarc suburethral sling is equivalent to
the TVT in the treatment of women with urodynamic stress incontinence (USI). If equivalence
is proven, the advantages to women with USI will be potentially significant since the
Miniarc may be carried out as an office based procedure, negating the need for an
anaesthetic and hospital admission. The investigators null hypothesis is that there is no
difference in subjective or objective outcome between the TVT and the Miniarc in the
treatment of USI.
Eligible women will be initially assessed with a full history and examination, King's Health
Questionnaire and twin channel subtraction cystometry. They will be randomised (using a
series of numbered opaque envelopes) to undergo either the TVT or Miniarc. Follow up will be
at 6 weeks, with a subjective outcome measure and at 6 months with a repeat subjective
assessment and repeat twin channel cystometry.
Status | Completed |
Enrollment | 70 |
Est. completion date | August 2009 |
Est. primary completion date | March 2009 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: 1. Patients must be female 2. Subjective evidence of stress predominant symptoms on symptom specific questionnaire 3. Stress incontinence on urodynamics 4. Patients who are capable of understanding and signing the written consent form for participation in the study 5. Patients must have completed their family 6. Patients must be capable of filling in the symptom diary and micturition diary Exclusion Criteria: 1. Patients who are medically unfit to undergo surgical intervention. 2. Patients who have undergone previous continence surgery 3. Prolapse beyond the introitus 4. Patients with voiding dysfunction 5. Patients with recurrent urinary tract infections 6. Patients with haematuria of unknown origin or known bladder pathology 7. Patients who are not sure that their family is complete 8. Patients unwilling to use a safe method of contraception following the procedure |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United Kingdom | Medway Maritime Hospital | Gillingham | Kent |
Lead Sponsor | Collaborator |
---|---|
Medway NHS Foundation Trust |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The absence of stress incontinence at 6 weeks ascertained by direct questioning and from the Kings Quality of life questionnaire and the absence at 6 months by the same criteria and by urodynamics. | 6 weeks and 6 months | No | |
Secondary | Quality of life (as measured using the King's Health Questionnaire) | 6 weeks and 6 months | No | |
Secondary | Intra-operative complications, e.g. bladder injury | Time of surgery | Yes | |
Secondary | Post-operative voiding dysfunction | 0-6 weeks | No |
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