Laparoscopic Burch Colposuspension Versus Modified Burch Colposuspension

Launched by AL-AZHAR UNIVERSITY · Nov 14, 2022

Keywords

ClinConnect Summary

This clinical trial is looking at two different surgical approaches for treating stress urinary incontinence in women. Stress urinary incontinence is when a woman leaks urine during activities like coughing, sneezing, or exercising. The study is comparing the standard laparoscopic Burch colposuspension, which has been used for a long time, to a modified version that uses a technique similar to a transobturator tape. The goal is to see which method has a higher success rate and fewer complications.

To participate in the trial, women aged 65 to 74 who have genuine stress urinary incontinence or mixed incontinence (with more stress than urge symptoms) may be eligible, especially if previous conservative treatments haven’t worked for them. However, women with certain conditions, recent pelvic surgeries, or other specific health issues won’t be able to join. If you decide to participate, you can expect to undergo one of the two surgical procedures, and the study will follow your progress to see how well the treatment works. This trial is currently recruiting participants, so it's a great opportunity for those looking for solutions to their urinary incontinence.

Gender

FEMALE

Eligibility criteria

• 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.