Assessment of the Internal Urethral Sphincter and the Vagina by Three Dimensional Ultrasound

NCT ID: NCT02139956

Last Updated: 2014-05-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-05-31

Brief Summary

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Continent women have an intact internal urethral sphincter that extends from the bladder neck down to the perineal membrane. The internal urethral sphincter is a strong collagen muscle tissue cylinder lined by urothelium. On ultrasound scanning tissue echo will be detected torn internal urethral sphincter will not stand sudden rise of abdominal pressure. Three dimensional ultrasound assessment of the internal urethral sphincter is very sensitive and specific for the diagnosis of stress urinary incontinence.

Detailed Description

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The internal urethral sphincter used to be said it's a muscular ring but the investigators will visualize by three dimensional ultrasound it's a cylinder in shape and it's the cause of stress urinary incontinence by being torn by stretching the vagina during normal delivery.

Conditions

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Urinary Incontinence Due to Urethral Sphincter Incompetence

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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stress urinary incontinence

group 1 women with stress urinary incontinence by ultrasonography

ultrasonography

Intervention Type DEVICE

open

continent group

group 2 women without stress urinary incontinence by ultrasonography

ultrasonography

Intervention Type DEVICE

open

Interventions

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ultrasonography

open

Intervention Type DEVICE

Other Intervention Names

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vilson E6 transvaginal probe

Eligibility Criteria

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Inclusion Criteria

* signed an informed consent
* patient with stress urinary incontinence
* patient have done a vaginal delivery
* patient with genital prolapse

Exclusion Criteria

* refusal to sign an informed consent
* patient have urinary tract infection
* patient with pregnancy
* patient have vaginal infection
* patient who has undiagnosed vaginal bleeding
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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dr mervat ekky

mekky

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ain Shams University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Kruger JA, Dietz HP, Budgett SC, Dumoulin CL. Comparison between transperineal ultrasound and digital detection of levator ani trauma. Can we improve the odds? Neurourol Urodyn. 2014 Mar;33(3):307-11. doi: 10.1002/nau.22386. Epub 2013 Feb 22.

Reference Type RESULT
PMID: 23436235 (View on PubMed)

Other Identifiers

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mekky

Identifier Type: -

Identifier Source: org_study_id

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