Protocol summary

Study aim
Midralethral sling combination and low dose dysport injection compared to sling alone in combined urinary incontinence
Design
In this double-blind, randomized clinical controlled trial, 10 patients were randomly selected as the intervention group based on computerized blocking system and underwent sling surgery with simultaneous injection of 500 units of dysport, and 10 patients as control group underwent sling surgery alone.
Settings and conduct
Patients will be evaluated and evaluated for response to treatment at 1 month and 3 months after surgery. The treatment evaluation in this study will be based on ICIQ and ICIQ-OAB questionnaires. This study uses blinding techniques to prevent bias as much as possible. This is because the surgeon is not aware of the patient's name and the person responsible for completing the questionnaire will be unaware of which patient is in which group.
Participants/Inclusion and exclusion criteria
In this study, 20 patients with combined urinary incontinence who did not respond to drug therapy will be enrolled. Everyone will be examined and given a history. Patients with hypertrophic urethra, severe prolapse, neurogenic disease (MS, CVA, etc.) and patients with a history of abdominal surgery are excluded. The rest will be urodynamic and patients with VLPP + + D.O, Cough induced D.O + leakage, and Capacity normal or average will be included in the study.
Intervention groups
In this study, 10 patients underwent TOT surgery with 500 Dysport injections and the rest of the patients will undergo TOT surgery alone.
Main outcome variables
Comparison of response rate to treatment of urinary incontinence in two methods

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20130306012728N7
Registration date: 2020-03-01, 1398/12/11
Registration timing: registered_while_recruiting

Last update: 2020-03-01, 1398/12/11
Update count: 0
Registration date
2020-03-01, 1398/12/11
Registrant information
Name
Sakineh Hajebrahimi
Name of organization / entity
Urology Department, Tabriz University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 41 1335 7328
Email address
ebrahimis@tbzmed.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-01-21, 1398/11/01
Expected recruitment end date
2020-06-21, 1399/04/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Combination of midurethral sling vs low-dose dysport injection in comparison with midurethral sling alone in mixed incontinence
Public title
effect of dysport in addition to surgery of incontinence
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
mixed urinary incontinence with no response to drugs Patients with VLPP+ + D.O،Cough induced D.O + Leakage و Capacity normal or average in urodynamic study
Exclusion criteria:
urethral hyper mobility severe prolapse neurological diseases (CVA,MS,..) previous abdominal surgeries
Age
From 15 years old
Gender
Female
Phase
3
Groups that have been masked
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
Sample size
Target sample size: 20
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Double blinded
Blinding description
Patients will be randomly divided into intervention and control groups using random number table based on file number.
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethic committee of Tabriz University of Medical Sciences
Street address
Azadi St. Golgasht Ave.
City
Tabriz
Province
East Azarbaijan
Postal code
5385137813
Approval date
2019-09-27, 1398/07/05
Ethics committee reference number
IR.TBZMED.REC.1398.705

Health conditions studied

1

Description of health condition studied
mixed Urinary incontinence
ICD-10 code
N39.46
ICD-10 code description
Mixed incontinence

Primary outcomes

1

Description
Urinary incontinence complaints are one of the most common urological complaints, especially among women, with a prevalence of around 12-17%.
Timepoint
Patients will be evaluated and evaluated for response to treatment at 1 and 3 months after surgery.
Method of measurement
The treatment response assessment method will be based on ICIQ and ICIQ-OAB questionnaires.

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: undergo sling surgery with simultaneous injection of 500 units of Dysport.
Category
Treatment - Surgery

2

Description
Control group: undergo sling surgery alone
Category
Treatment - Surgery

Recruitment centers

1

Recruitment center
Name of recruitment center
Tabriz Emam Reza hospital
Full name of responsible person
Hooshang Shamsi Sisi
Street address
Azadi St. Golgasht Ave.
City
Tabriz
Province
East Azarbaijan
Postal code
5166614756
Phone
+98 41 3334 7054
Email
H.shamsimd@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Tabriz University of Medical Sciences
Full name of responsible person
Dr. Mohammad Samiei
Street address
Golgasht Ave. Azadi St.
City
Tabriz
Province
East Azarbaijan
Postal code
5166614756
Phone
+98 41 3334 7054
Email
imamreza@tbzmed.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Tabriz University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tabriz University of Medical Sciences
Full name of responsible person
Hooshang Shamsi Sisi
Position
resident
Latest degree
Medical doctor
Other areas of specialty/work
Urology
Street address
Golgasht Ave. Azadi St.
City
Tabriz
Province
East Azarbaijan
Postal code
5166614756
Phone
+98 41 3334 7054
Email
h.shamsimd@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tabriz University of Medical Sciences
Full name of responsible person
Hooshang Shamsi Sisi
Position
resident
Latest degree
Medical doctor
Other areas of specialty/work
Urology
Street address
Golgasht Ave. Azadi St.
City
Tabriz
Province
East Azarbaijan
Postal code
5166614756
Phone
+98 41 3334 7054
Email
h.shamsimd@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Tabriz University of Medical Sciences
Full name of responsible person
Hooshang Shamsi Sisi
Position
Resident
Latest degree
Medical doctor
Other areas of specialty/work
Urology
Street address
Golgasht Ave. Azadi St.
City
Tabriz
Province
East Azarbaijan
Postal code
5166614756
Phone
+98 41 3334 7054
Email
H.shamsimd@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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