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Trial registered on ANZCTR
Registration number
ACTRN12617000241336
Ethics application status
Approved
Date submitted
18/12/2016
Date registered
16/02/2017
Date last updated
10/04/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Measuring the mesh position after a successful urinary incontinence surgery
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Scientific title
May the length of the surgical midurethra be longer than anatomical midurethra? An analysis of the mesh position with translabial ultrasonography in successful cases after transobturator tape operation.
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Secondary ID [1]
290787
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None
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Universal Trial Number (UTN)
U1111-1191-0755
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Trial acronym
AML
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Linked study record
None
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Health condition
Health condition(s) or problem(s) studied:
Stress urinary incontinence
301418
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Condition category
Condition code
Renal and Urogenital
301147
301147
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0
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Other renal and urogenital disorders
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Surgery
301592
301592
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0
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Other surgery
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Between September 2011 and April 2016 a total of 82 successful transobturator tape (TOT) surgeries were performed at the Department of Urology, Medicine Faculty of Ahi Evran University. In this study, all cases with favorable results will be phone called prospectively for a translabial ultrasonographic examination to evaluate the mesh location after surgery. The ultrasonography will be performed by an experienced radiologist. The ultrasonographic examinations will be conducted at Medicine Faculty of Ahi Evran University.
After measuring the length of the urethra, the distance from the bladder neck and external urethral meatus to the edges of the mesh will be measured. The anatomic mid-urethra is accepted as the mid one-third of the urethral length. Patients with successful surgical results will be examined whether all the meshes are in the boundaries of the anatomic mid-urethra or not.
The width of the mesh, the distance from the urethral mucosa and from vaginal mucosa to the mesh will also be measured. All measurements will be made in mm. The posterior urethrovesical angle is going to be measured as the angle between the line parallel to the urethra and parallel to the bladder trigone during resting and valsalva. These angles will be measured for two times. The average of the degree of these angles after two different measurements will be calculated. The difference of the angles between resting and valsalva will be recorded.
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Intervention code [1]
296700
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
300559
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The bounds of the anatomic and surgical midurethra will be compared after translabial ultrasonographic measurements.
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Assessment method [1]
300559
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Timepoint [1]
300559
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At time of ultrasound examination
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Secondary outcome [1]
330297
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The posterior urethrovesical angle will be measured with translabial ultrasonography
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Assessment method [1]
330297
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Timepoint [1]
330297
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At time of ultrasound examination
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Eligibility
Key inclusion criteria
Patients who have had transobturatory tape operation at the Department Urology, Ahi Evran University between September 2011 and April 2016 with a successful surgical outcome will be included in this study. Patients without stress urinary incontinence, emptying problem, extrusion of the mesh or erosion of the urethra will be accepted as surgical success. Patients who had had the surgery for at least two months ago will be admitted to work.
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Minimum age
26
Years
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Maximum age
81
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who had another urogynecological surgery simultaneously or with unsuccessful surgical outcome will be excluded from the study.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
The patients with surgical success will be involved this study. Kolmogorov-Smirnov test will be used to assess the normality of distribution. Pearson’s Chi-square test will be used for the categorical variables and independent t-test will be used for continuous variables.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/02/2017
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Actual
21/02/2017
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Date of last participant enrolment
Anticipated
6/03/2017
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Actual
17/03/2017
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Date of last data collection
Anticipated
6/03/2017
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Actual
20/03/2017
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Sample size
Target
82
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Accrual to date
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Final
75
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Recruitment outside Australia
Country [1]
8520
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Turkey
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State/province [1]
8520
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Kirsehir
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Funding & Sponsors
Funding source category [1]
295213
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Hospital
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Name [1]
295213
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Ahi Evran University Hospital
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Address [1]
295213
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Department of Radiology and Department of Urology, Ahi Evran University, Kirsehir, Turkey. Postcode:40200
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Country [1]
295213
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Turkey
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Primary sponsor type
Hospital
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Name
Ahi Evran University Hospital
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Address
Department of Radiology and Department of Urology, Ahi Evran University, Kirsehir, Turkey Postcode:40200
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Country
Turkey
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Secondary sponsor category [1]
294041
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None
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Name [1]
294041
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None
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Address [1]
294041
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None
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Country [1]
294041
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296559
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Ethics committee of medicine faculty, Ahi Evran University
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Ethics committee address [1]
296559
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Medicine Faculty of Ahi Evran University, Bagbasi Campus, Kirsehir. Postcode:40200
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Ethics committee country [1]
296559
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Turkey
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Date submitted for ethics approval [1]
296559
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20/12/2016
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Approval date [1]
296559
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03/01/2017
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Ethics approval number [1]
296559
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2017-01/02
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Summary
Brief summary
The surgical treatment of stress urinary incontinence is successfully maintained by transobturator midurethral sling (MUS) surgeries over a decade. The short and medium-term results are well understood after many clinical trials. , The mesh is being motivated to localize just under the mid part of the urethra during MUS. After understanding the “integral theory,” this concept has become more important. The location of the mesh under the midurethra is crucial for the success and complication rates of MUS. Anatomically the midurethra is the mid one-third of the urethra. This part is the high-pressure region of the urethra. The aim of this study is to evaluate the exact location of the mesh under the urethra with translabial ultrasonography and to compare the mesh position to the anatomic midurethra in MUS patients with favorable results, and find out if there is a difference in lengths of surgical and anatomic midurethra. Between September 2011 and April 2016 a total of 82 successful transobturator tape (TOT) surgeries were performed at the Department of Urology, Medicine Faculty of Ahi Evran University. In this study, all cases with successful results will be prospectively phone called for a translabial ultrasonographic examination to evaluate the relationship of the mesh to the surrounding structures after surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Sahin Bagbanci
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Address
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Department of Urology, Medicine Faculty of Ahi Evran University, Kirsehir, Turkey Postcode:40200
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Country
71286
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Turkey
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Phone
71286
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+903862134517
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Fax
71286
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Email
71286
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[email protected]
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Contact person for public queries
Name
71287
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sahin bagbanci
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Address
71287
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Department of Urology, Medicine Faculty of Ahi Evran University, Kirsehir, Turkey Postcode:40200
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Country
71287
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Turkey
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Phone
71287
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+903862134517
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Fax
71287
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Email
71287
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[email protected]
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Contact person for scientific queries
Name
71288
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Sahin Bagbanci
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Address
71288
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Department of Urology, Medicine Faculty of Ahi Evran University, Kirsehir, Turkey Postcode:40200
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Country
71288
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Turkey
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Phone
71288
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+903862134517
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Fax
71288
0
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Email
71288
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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