Urodynamics versus videourodynamics for women with recurrent stress urinary incontinence
Impact of Urodynamic and Video-urodynamic Testing on Surgical Outcomes in Women With Recurrent Urinary Incontinence
NA · University College, London · NCT07542080
This trial will test whether videourodynamics or standard urodynamics before repeat surgery helps women with recurrent stress urinary incontinence get better treatment outcomes.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 18 Years to 100 Years |
| Sex | Female |
| Sponsor | University College, London (other) |
| Locations | 1 site (London) |
| Trial ID | NCT07542080 on ClinicalTrials.gov |
What this trial studies
Researchers will perform a prospective randomized pilot of 30 women referred to the tertiary urological service at University College London Hospitals. Participants will be randomly assigned to receive either standard urodynamic testing (UDS) or videourodynamics (VUDS) before receiving medical and surgical treatments tailored to the findings. The comparison aims to see whether adding imaging during urodynamics changes diagnostic classification, treatment choices, and short-term outcomes after repeat surgery. The study emphasizes feasibility and preliminary outcome data because existing evidence on these invasive tests is limited and controversial.
Who should consider this trial
Good fit: Adult women (18+) with recurrent stress urinary incontinence who can give informed consent and are suitable for further surgery are the ideal candidates, excluding those who are pregnant, have BMI over 35, prior pelvic radiotherapy, or relevant neurogenic disease.
Not a fit: Women who are pregnant, unfit for surgery, have BMI >35, prior pelvic radiotherapy, or neurogenic conditions risking neurogenic bladder are excluded and would not benefit from participation.
Why it matters
Potential benefit: If successful, the results could help clinicians choose the most informative diagnostic test before repeat incontinence surgery and reduce failed or unnecessary procedures.
How similar studies have performed: Existing studies are scarce and nonvalidated, so randomized comparisons of UDS versus VUDS remain limited and this pilot addresses a largely untested question.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * competent (able to consent) * adult women (over 18 years old) * with recurrent stress urinary incontinence Exclusion Criteria: * women who are pregnant * unfit for surgery * body mass index (BMI) over 35 * background of pelvic radiotherapy or relevant neurogenic disease that would put them at risk of neurogenic bladder
Where this trial is running
London
- University College Hospital at Westmoreland Street — London, United Kingdom (RECRUITING)
Study contacts
- Study coordinator: Bogdan Toia, MD (Romania)
- Email: bogdan.toia1@nhs.net
- Phone: +447864707846
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Stress Incontinence Female, Urodynamic Exam, Urodynamic Stress Incontinence, urodynamics, videourodynamics, stress incontinence