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- Title
INVESTIGATE-I (INVasive Evaluation before Surgical Treatment of Incontinence Gives Added Therapeutic Effect?): study protocol for a mixed methods study to assess the feasibility of a future randomised controlled trial of the clinical utility of invasive urodynamic testing.
- Authors
Murdoch, Megan; McColl, Elaine; Howel, Denise; Deverill, Mark; Buckley, Brian S; Lucas, Malcolm; Chapple, Christopher R; Tincello, Douglas G; Armstrong, Natalie; Brennand, Cath; Shen, Jing; Vale, Luke; Hilton, Paul
- Abstract
Urinary incontinence is an important health problem to the individual sufferer and to health services. Stress and stress predominant mixed urinary incontinence are increasingly managed by surgery due to advances in surgical techniques. Despite the lack of evidence for its clinical utility, most clinicians undertake invasive urodynamic testing (IUT) to confirm a functional diagnosis of urodynamic stress incontinence before offering surgery for this condition. IUT is expensive, embarrassing and uncomfortable for women and carries a small risk. Recent systematic reviews have confirmed the lack of high quality evidence of effectiveness.The aim of this pilot study is to test the feasibility of a future definitive randomised control trial that would address whether IUT alters treatment decisions and treatment outcome in these women and would test its clinical and cost effectiveness.
- Publication
Trials, 2011, Vol 12, p169
- ISSN
1745-6215
- Publication type
Journal Article
- DOI
10.1186/1745-6215-12-169