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Status unknownNCT03942549Updated Sep 16, 2020

Changes in the Bladder Micro-environment Following Midurethral Sling Surgery for Stress Urinary Incontinence

An observational study in Stress Urinary Incontinence, sponsored by Oregon Health and Science University. Status unknown at 2 sites in United States. Open to female participants aged 18 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-09-16.

Sponsored by Oregon Health and Science University · Observational

The sponsor has not verified this record recently (last verified Sep 2020), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years to 89 Years
Sex
Female
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Study summary

This observational cohort study is aimed at determining changes in the cytokine expression profile as well as the urinary and vaginal microbiome of women undergoing midurethral sling placement for the treatment of stress urinary incontinence.

Read the detailed description

Primary Objectives:

This is a pilot study to evaluate how midurethral sling (MUS) placement for the treatment of stress urinary incontinence (SUI) affects the bladder microenvironment, specifically the local microbial community or "microbiome" of the bladder and the cytokine expression profile. The investigators also aim to correlate any changes in the microbiome or cytokine expression profile with patient-reported urinary symptoms preoperatively and postoperatively.

Specific Aim 1: Assess the change in the urinary and vaginal microbiome (preoperatively to postoperatively) in women undergoing MUS placement for the treatment of SUI. The investigators hypothesize that the bladder environment will be disturbed by surgery involving the lower urinary tract and will show demonstrable changes in the urinary and vaginal microbiota.

Specific Aim 2: Characterize the cytokine profile of the bladder (preoperatively to postoperatively) in women undergoing MUS placement for the treatment of SUI. The investigators hypothesize that MUS treatment will change the cytokine profile of the bladder and lead to alterations in the expression of pro-inflammatory cytokines.

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Conditions studied

  • Stress Urinary Incontinence

Keywords

  • microbiome
  • cytokine
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In context

Urinary Incontinence

1,363 studies on the registry are indexed under Urinary Incontinence; 228 are open to participants now.

This study's planned enrollment of 20 is below the median of 120 across 305 observational studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Oregon Health and Science University is the lead sponsor of 676 studies on the registry; 136 are open to participants now.

Of its 49 completed or terminated interventional studies of FDA-regulated products, 36 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study population will include women over the age of 18 planning to undergo stand-alone midurethral sling placement for treatment of stress urinary incontinence.

Inclusion criteria

  • Age > 18 years old
  • Planning to undergo retropubic midurethral sling placement

Exclusion criteria

Exclusion Criteria:

  • Prior surgery for stress urinary incontinence
  • Untreated pelvic organ prolapse > Stage II based on POP-Q assessment
  • Concomitant surgery for prolapse
  • Current use of anticholinergic medications
  • Use of systemic or vaginal antibiotics in the last 2 months
  • Active urinary tract infection
  • History of recurrent UTI
  • Pregnancy
  • History of pelvic radiation or bladder cancer
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Target follow-up
6 Weeks
Patient registry
Yes

Groups and cohorts

  • MUS Cohort

    This cohort will undergo midurethral sling placement.

    Device: Retropubic midurethral sling

Interventions

  • DeviceRetropubic midurethral sling

    Midurethral sling

    Also known as: TVT

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What researchers measure

Primary outcomes

  1. Urinary Microbiome

    change in the relative abundance of urinary lactobacillus between baseline, 2 and 6 weeks postoperative

    Time frame: Six weeks

Secondary outcomes

  1. Prevalence of overactive bladder symptoms

    Validated symptom questionnaires will be collected at baseline and again at 2 and six weeks postoperatively to assess common symptoms associated with overactive bladder.

    Time frame: Six weeks

07

Study locations

2 sites
  • Legacy Good Samaritan Hospital
    Portland, Oregon 97210, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03942549
Lead sponsor
Oregon Health and Science University
Collaborators
Collins Medical Trust
Responsible party
Ian Fields (Principal Investigator, Oregon Health and Science University) — Principal investigator
First posted
May 8, 2019
Start date
May 3, 2019
Primary completion
Dec 31, 2020 (estimated)
Completion
Dec 31, 2020 (estimated)
Last update
Sep 16, 2020

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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