Measuring the mesh position after a successful urinary incontinence surgery

• Register: ANZCTR
• Last refreshed on: 18 April 2017
• Main ID: ACTRN12617000241336
• Date of registration: 16/02/2017
• Prospective Registration: Yes
• Primary sponsor: Ahi Evran University Hospital
• Public title: Measuring the mesh position after a successful urinary incontinence surgery
• 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.
• Date of first enrolment: 21/02/2017
• Target sample size: 82
• Recruitment status: Completed
• URL: http://www.anzctr.org.au/ACTRN12617000241336.aspx
• Study type: Observational
• Phase: Not Applicable

Health Condition(s) or Problem(s) studied

Stress urinary incontinence

Intervention(s)

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.