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Clinical Trials/NCT05616481
NCT05616481RecruitingNot Applicable

Laparoscopic Burch Colposuspension Versus Modified Burch Colposuspension For Treatment Of Female Stress Urinary Incontinence; Randomized Controlled Trial

Al-Azhar University1 site in 1 country120 target enrollmentStarted: January 1, 2022Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Enrollment
120
Locations
1
Primary Endpoint
The success rates of both laparoscopic Burch colposuspension versus laparoscopic modified Burch colposuspension for treatment of female stress urinary incontinence

Study Overview

Brief Summary

This study aims to compare the success rate and complications following laparoscopic standard Burch colposuspension and laparoscopic modified Burch colposuspension (Transobturator tape like)

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Women with genuine stress urinary incontinence.
  • •Mixed urinary incontinence with predominant stress element.
  • •Refractory cases to conservative therapy or patients who are not willing to consider (further) conservative treatment.

Exclusion Criteria

  • •Mixed incontinence with predominant Urge urinary incontinence.
  • •Recent pelvic surgery (less than 3 months).
  • •Neurogenic lower urinary tract dysfunction.
  • •Previous surgery for stress urinary incontinence.
  • •Pregnancy
  • •Less than 12 months post-partum.
  • •Other gynaecologic pathologies affecting bladder functions ( eg, fibroids, ovarian cysts)
  • •Genito-urinary malignancy.
  • •Current chemo or radiation therapy.

Arms & Interventions

Laparoscopic Burch

Active Comparator

The original procedure will be performed

Intervention: Laparoscopic Burch colposuspension (Procedure)

Laparoscopic modefied Burch procedur (TOT-like)

Active Comparator

Sutures on the pubocervical fascia are placed at the level of the attachment of the arcus tendinous fascia pelvis and the pubourethral ligament.

Intervention: Modefied Burch (TOT - like) (Procedure)

Outcomes

Primary Outcomes

The success rates of both laparoscopic Burch colposuspension versus laparoscopic modified Burch colposuspension for treatment of female stress urinary incontinence

Time Frame: 3 months post operative

Secondary Outcomes

  • Complication rates of both techniques.(up to 3 months)
  • Post operative rates of voiding dysfunction (at 3 months).(at 3 months)
  • Overall operative time(Intraoperative (measured from verrus needle insertion))

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Mohamed Fawzy Abd Elfattah Salman

Director

Al-Azhar University

Study Sites (1)

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