Concomitant Conditions Clinical Trial
Official title:
Factors Affecting the Improvement of Severity of Concomitant Urodynamic Stress Incontinence After a Novel Transvaginal Mesh Surgery for Women With Pelvic Organ Prolapse
Background/Purpose:
A novel transvaginal mesh (TVM) surgery for women with pelvic organ prolapse (POP) had been
reported. However, factors affecting the efficacy of this novel TVM surgery are unknown; and
the above information should be important for preoperative consultation, especially for POP
women with concomitant urodynamic stress incontinence (USI). Thus, the aim of this study is
to investigate the factors responsible for anti-incontinence effect of this novel anterior
TVM surgery.
Patients and Methods:
All women with POP and concomitant overt or occult USI, who underwent the novel anterior TVM
surgeries, were enrolled in this study. Medical records, including urodynamic studies,
questionnaires and 3-day bladder diaries, were retrospectively reviewed. Linear regress
analysis was used to identify factors that were responsible for the changes in pad weights
from baseline [i.e., 100 * (postoperative pad weight - baseline pad weight)/baseline pad
weight].
Expected Results:
The investigators will get the factors responsible for anti-incontinence effect of this novel
anterior TVM surgery. Key Words: pelvic organ prolapse, stress urinary incontinence, pad
test, urodynamic stress incontinence
Background/Purpose:
A novel transvaginal mesh (TVM) surgery for women with pelvic organ prolapse (POP) had been
reported. However, factors affecting the efficacy of this novel TVM surgery are unknown; and
the above information should be important for preoperative consultation, especially for POP
women with concomitant urodynamic stress incontinence (USI). Thus, the aim of this study is
to investigate the factors responsible for anti-incontinence effect of this novel anterior
TVM surgery.
Methods:
All women with POP and concomitant overt or occult USI, who underwent the novel anterior TVM
surgeries between November 2011 and December 2015 at the Department of Obstetrics &
Gynecology, were enrolled in this study. Medical records, including urodynamic studies,
questionnaires and 3-day bladder diaries, were retrospectively reviewed. Linear regress
analysis was used to identify factors that were responsible for the changes in pad weights
from baseline [i.e., 100 * (postoperative pad weight - baseline pad weight)/baseline pad
weight].
Expected Results:
The investigators will get the factors responsible for anti-incontinence effect of this novel
anterior TVM surgery.
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