Incontinence Surgery and Urodynamics Parameters

Study Overview
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Brief Summary
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In patients who have previously had incontinence surgery due to stress incontinence (Midurethral slings (tvt, tot, etc.)), the symptoms may return in the following years and the patient can reapply with urinary incontinence. Urodynamic evaluation is important before stress incontinence surgery to confirm clinical diagnosis based on symptoms and findings and to determine the factors that may affect the effectiveness of surgery and the possibility of complications. Urodynamics evaluation is performed in the preoperative period in patients scheduled for incontinence. Urodynamics evaluation is performed again in patients who applied with post-operative recurrence due to surgery failure or different reasons. It is aimed to show whether there is a difference between the urodynamics parameters of these patients who were examined preoperatively and the urodynamics parameters examined in case of postoperative failure. Thus, the primary goal; to show which of these parameters has deterioration or if the surgical method is insufficient if it is within certain limits or urinary incontinence may recur.

Official Title
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In Patients Who Underwent Incontinence Surgery and Who Had Postoperative Recurrence Comparison of Urodynamics Parameters Performed in Preoperative and Postoperative Period

Conditions
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Incontinence, Surgery

Intervention / Treatment
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* Diagnostic Test: urodynamics parameters


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who have previously undergone surgery for stress incontinence Those who are symptomatic again in their post-operative follow-up (urinary incontinence), Patients who underwent preoperative and postoperative urodynamics Exclusion Criteria: Those with chronic diseases or medications that may cause urinary incontinence Patients with mixed or urge incontinence Patients who are not symptomatic postoperatively

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| post-operative urinary incontinents<br>In patients who have previously had incontinence surgery due to stress incontinence, symptoms may return in the following years, and the patient may reapply with urinary incontinence. The first group will consist of postoperative urinary incontinence recurrent patients. Patients whose urodynamics are reperformed due to recurrence are the study group. | Diagnostic Test: urodynamics parameters<br>* Urodynamics evaluation is performed in the preoperative period in patients whose operation is planned due to incontinence. Urodynamics evaluation is performed again in patients who applied with postoperative relapse due to surgery failure or different reasons. It will be shown whether there is a difference between the urodynamics parameters of preoperatively examined patients and those of urodynamics examined in case of postoperative failure.<br>|
| without postoperative urinary incontinence<br>Patients who previously had incontinence surgery due to stress incontinence and who did not have postopertive urinary incontinence but whose urodynamics were repeated during the routine controls will constitute the control group. | Diagnostic Test: urodynamics parameters<br>* Urodynamics evaluation is performed in the preoperative period in patients whose operation is planned due to incontinence. Urodynamics evaluation is performed again in patients who applied with postoperative relapse due to surgery failure or different reasons. It will be shown whether there is a difference between the urodynamics parameters of preoperatively examined patients and those of urodynamics examined in case of postoperative failure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| urodynamics parameters V max | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; V max (voiding speed) cm3 | 5 YEARS | 
| urodynamics parameters bladder complians | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; bladder complians | 5 YEARS | 
| urodynamics parameters valsalva leak point pressure | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; valsalva leak point pressure (mmhg) | 5 YEARS | 
| urodynamics parameters abdominal leak point pressure | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; abdominal leak point pressure (mmhg) | 5 YEARS | 
| urodynamics parameters P det | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P detrusitor (P det) (mmhg) | 5 YEARS | 
| urodynamics parameters P abd | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P abdominal (P abd) (mmhg) | 5 YEARS | 
| urodynamics parameters P urethral | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; P urethral (mmhg) | 5 YEARS | 
| urodynamics parameters UPP | urodynamics parameters of patients before and after surgery will be examined urodynamic parameters to look at; urethral pressure profile (UPP) | 5 YEARS |