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Long-term Effectiveness of Abdominal Sacrocolpopexy for the Treatment of Pelvic Organ Prolapse

Long-term Effectiveness of Abdominal Sacrocolpopexy for the Treatment of Pelvic Organ Prolapse: The Extended Colpopexy and Urinary Reduction Efforts (E-CARE) Study

Status
Terminated
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00099372
Acronym
E-CARE
Enrollment
215
Registered
2004-12-13
Start date
2004-05-31
Completion date
2011-06-30
Last updated
2021-03-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prolapse, Urinary Incontinence

Keywords

sacrocolpopexy, abdominal sacrocolpopexy, surgical procedure, prolapse, pelvic organ prolapse, urinary incontinence, stress urinary incontinence

Brief summary

The Colpopexy and Urinary Reduction Effort (CARE) trial is a research study designed to evaluate whether the addition of a second surgical procedure in addition to a procedure for female pelvic organ prolapse (POP) affects the rates of urinary incontinence. This study will follow women in the CARE study for 10 years from the time of the surgery to compare success and complication rates in the two groups. Recruitment into this study is open only to women that already participated in CARE. Recruitment into CARE is closed.

Detailed description

The primary aims of this prospective cohort study are: 1. To determine the long-term (up to 10 years) anatomic success rate of sacrocolpopexy (defined as Stage 0 apical prolapse AND \<= Stage 2 anterior and posterior prolapse AND no re-operation or pessary treatment for POP), and whether anatomic success differs between women who had vs. those who did not have concomitant Burch colposuspension at the time of sacrocolpopexy; 2. To determine whether there is a difference in long-term stress continence (by symptoms) between women who had vs. those who did not have concomitant Burch colposuspension at the time of sacrocolpopexy; 3. To determine whether there is a long-term difference between overall pelvic floor symptoms and pelvic-floor specific quality of life between women who had vs. those who did not have concomitant Burch colposuspension at the time of sacrocolpopexy.

Interventions

None listed

Sponsors

University of Iowa
CollaboratorOTHER
Baylor College of Medicine
CollaboratorOTHER
Loyola University
CollaboratorOTHER
University of North Carolina, Chapel Hill
CollaboratorOTHER
Johns Hopkins University
CollaboratorOTHER
University of Pittsburgh
CollaboratorOTHER
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
CollaboratorNIH
NICHD Pelvic Floor Disorders Network
Lead SponsorNETWORK

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Women enrolled in CARE

Exclusion criteria

* Inability to provide informed consent. * Subjects who, at the time of enrollment into E-CARE, are long-term residents of a skilled nursing facility (that is, residency is not limited to short-term rehabilitation).

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Symptomatic Failure24 monthsSymptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery
Number of Participants With Anatomic Failure (Original Definition)24 monthsReoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen
Number of Participants With Anatomic Failure (Updated Definition)24 monthsReoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen
Number of Participants With Composite Failure24 monthsAnatomic failure (updated definition) or symptomatic failure
Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index24 monthsFailure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.
Number of Participants With Stress Urinary Incontinence (SUI) Prevention24 monthsOne or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI
Number of Participants With Stress Urinary Incontinence (SUI)24 monthsOne or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Countries

United States

Participant flow

Participants by arm

ArmCount
BURCH URETHROPEXY
Participants had an Abdominal Sacral Colpopexy with Burch colposuspension for treatment of pelvic organ prolapse
104
NO URETHROPEXY
Participants had an Abdominal Sacral Colpopexy without Burch colposuspension for treatment of pelvic organ prolapse
111
Total215

Baseline characteristics

CharacteristicNO URETHROPEXYBURCH URETHROPEXYTotal
Age, Continuous60.9 years
STANDARD_DEVIATION 10.5
62.9 years
STANDARD_DEVIATION 9.4
61.9 years
STANDARD_DEVIATION 10
BMI >= 30 (obesity)
No
85 Participants85 Participants170 Participants
BMI >= 30 (obesity)
Yes
26 Participants19 Participants45 Participants
Body Mass Index26.8 kg/m^2
STANDARD_DEVIATION 4.8
26.6 kg/m^2
STANDARD_DEVIATION 4
26.7 kg/m^2
STANDARD_DEVIATION 4.4
Education level
College degree or higher
63 Participants53 Participants116 Participants
Education level
High school degree or equivalent
44 Participants36 Participants80 Participants
Education level
Less than High School
4 Participants15 Participants19 Participants
Hysterectomy
Missing
15 Participants17 Participants32 Participants
Hysterectomy
No
17 Participants7 Participants24 Participants
Hysterectomy
Yes
79 Participants80 Participants159 Participants
Married or living as married
Missing
0 Participants1 Participants1 Participants
Married or living as married
No
31 Participants23 Participants54 Participants
Married or living as married
Yes
80 Participants80 Participants160 Participants
Number of cesarean deliveries0 deliveries0 deliveries0 deliveries
Number of previous births3 births3 births3 births
Number of vaginal deliveries3 deliveries3 deliveries3 deliveries
Pelvic Organ Prolapse-Q stage
2
15 Participants9 Participants24 Participants
Pelvic Organ Prolapse-Q stage
3
78 Participants75 Participants153 Participants
Pelvic Organ Prolapse-Q stage
4
18 Participants20 Participants38 Participants
Prior POP Surgery
No
75 Participants56 Participants131 Participants
Prior POP Surgery
Yes
36 Participants48 Participants84 Participants
Prior SUI Surgery
No
104 Participants95 Participants199 Participants
Prior SUI Surgery
Yes
7 Participants9 Participants16 Participants
Race/Ethnicity, Customized
Black or African American
9 Participants4 Participants13 Participants
Race/Ethnicity, Customized
Hispanic
7 Participants1 Participants8 Participants
Race/Ethnicity, Customized
Not Hispanic
104 Participants103 Participants207 Participants
Race/Ethnicity, Customized
Other
3 Participants1 Participants4 Participants
Race/Ethnicity, Customized
White
99 Participants99 Participants198 Participants
Sex/Gender, Customized
Female
111 Participants104 Participants215 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1040 / 111
other
Total, other adverse events
12 / 10415 / 111
serious
Total, serious adverse events
0 / 1040 / 111

Outcome results

Primary

Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure48 Participants
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure56 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure66 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure45 Participants
Primary

Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure62 Participants
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure29 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure73 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure19 Participants
Primary

Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure59 Participants
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure38 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure73 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure29 Participants
Primary

Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure58 Participants
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure40 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure72 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure32 Participants
Primary

Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure55 Participants
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure44 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure70 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure35 Participants
Primary

Number of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity Index

Failure is indicated by a score of 3 or greater on the Incontinence Severity Index (formerly called Hunskaar). The score is calculated as the product of the answers to two incontinence-related questions resulting in a range from 0 to 12 (higher scores indicating more severe symptoms). A score of 3 or greater corresponds to a severity classification of moderate, severe, or very severe.

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure52 Participants
BURCH URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure49 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexFailure70 Participants
NO URETHROPEXYNumber of Participants Considered as Failures For Urinary Incontinence Using the Incontinence Severity IndexNon-failure39 Participants
Primary

Number of Participants With Anatomic Failure (Original Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure6 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure95 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure9 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure101 Participants
Primary

Number of Participants With Anatomic Failure (Original Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure9 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure75 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure10 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure80 Participants
Primary

Number of Participants With Anatomic Failure (Original Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure10 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure54 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure12 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure65 Participants
Primary

Number of Participants With Anatomic Failure (Original Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure12 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure46 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure13 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure56 Participants
Primary

Number of Participants With Anatomic Failure (Original Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure15 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure40 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure14 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure42 Participants
Primary

Number of Participants With Anatomic Failure (Original Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex decends \>= 2 cm, or the anterior or posterior vaginal wall decends \>1 cm beyond the hymen

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure15 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure29 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Failure14 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Original Definition)Non-failure32 Participants
Primary

Number of Participants With Anatomic Failure (Updated Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure5 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure96 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure8 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure102 Participants
Primary

Number of Participants With Anatomic Failure (Updated Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria. The original and updated versions of anatomic failure could have different denominators for the same time point because a prior anatomic failure means the patient is assigned a failure in all subsequent visits regardless of whether the patient had completed the visits.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure8 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure76 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure10 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure81 Participants
Primary

Number of Participants With Anatomic Failure (Updated Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure54 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure10 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure67 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure12 Participants
Primary

Number of Participants With Anatomic Failure (Updated Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure14 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure42 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure12 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure59 Participants
Primary

Number of Participants With Anatomic Failure (Updated Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure18 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure36 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure13 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure46 Participants
Primary

Number of Participants With Anatomic Failure (Updated Definition)

Reoperation or pessary for POP or POP-Q measurements as follows: Vaginal apex descends below the upper third of the vagina, or the anterior (Ba) or posterior (Bp) vaginal wall prolapses beyond the hymen

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure18 Participants
BURCH URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure27 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Failure13 Participants
NO URETHROPEXYNumber of Participants With Anatomic Failure (Updated Definition)Non-failure36 Participants
Primary

Number of Participants With Composite Failure

Anatomic failure (updated definition) or symptomatic failure

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Composite FailureFailure14 Participants
BURCH URETHROPEXYNumber of Participants With Composite FailureNon-failure88 Participants
NO URETHROPEXYNumber of Participants With Composite FailureFailure15 Participants
NO URETHROPEXYNumber of Participants With Composite FailureNon-failure95 Participants
Primary

Number of Participants With Composite Failure

Anatomic failure (updated definition) or symptomatic failure

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Composite FailureFailure16 Participants
BURCH URETHROPEXYNumber of Participants With Composite FailureNon-failure73 Participants
NO URETHROPEXYNumber of Participants With Composite FailureFailure18 Participants
NO URETHROPEXYNumber of Participants With Composite FailureNon-failure74 Participants
Primary

Number of Participants With Composite Failure

Anatomic failure (updated definition) or symptomatic failure

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Composite FailureFailure19 Participants
BURCH URETHROPEXYNumber of Participants With Composite FailureNon-failure51 Participants
NO URETHROPEXYNumber of Participants With Composite FailureFailure19 Participants
NO URETHROPEXYNumber of Participants With Composite FailureNon-failure63 Participants
Primary

Number of Participants With Composite Failure

Anatomic failure (updated definition) or symptomatic failure

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Composite FailureFailure27 Participants
BURCH URETHROPEXYNumber of Participants With Composite FailureNon-failure36 Participants
NO URETHROPEXYNumber of Participants With Composite FailureFailure20 Participants
NO URETHROPEXYNumber of Participants With Composite FailureNon-failure55 Participants
Primary

Number of Participants With Composite Failure

Anatomic failure (updated definition) or symptomatic failure

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Composite FailureFailure30 Participants
BURCH URETHROPEXYNumber of Participants With Composite FailureNon-failure31 Participants
NO URETHROPEXYNumber of Participants With Composite FailureFailure21 Participants
NO URETHROPEXYNumber of Participants With Composite FailureNon-failure45 Participants
Primary

Number of Participants With Composite Failure

Anatomic failure (updated definition) or symptomatic failure

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Composite FailureNon-failure24 Participants
BURCH URETHROPEXYNumber of Participants With Composite FailureFailure30 Participants
NO URETHROPEXYNumber of Participants With Composite FailureFailure21 Participants
NO URETHROPEXYNumber of Participants With Composite FailureNon-failure40 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI)

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure57 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure32 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure79 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure17 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI)

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure39 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure65 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure63 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure47 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI)

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure47 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure55 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure68 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure41 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI)

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure49 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure50 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure75 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure32 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI)

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure53 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure45 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure76 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure29 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI)

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure40 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure55 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Failure78 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI)Non-failure27 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI) Prevention

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure39 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure65 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure63 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure47 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI) Prevention

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure47 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure55 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure69 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure40 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI) Prevention

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure49 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure50 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure76 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure31 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI) Prevention

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure53 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure45 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure77 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure28 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI) Prevention

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure55 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure40 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure78 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure27 Participants
Primary

Number of Participants With Stress Urinary Incontinence (SUI) Prevention

One or more SUI symptoms reported on the Pelvic Floor Distress Inventory, receipt of interval anti-incontinence surgery, or receipt of an urethral bulking agent injection for SUI

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure57 Participants
BURCH URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure32 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionFailure79 Participants
NO URETHROPEXYNumber of Participants With Stress Urinary Incontinence (SUI) PreventionNon-failure17 Participants
Primary

Number of Participants With Symptomatic Failure

Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

Time frame: 24 months

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureFailure15 Participants
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure89 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureFailure16 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure95 Participants
Primary

Number of Participants With Symptomatic Failure

Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

Time frame: 7 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureFailure27 Participants
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure46 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureFailure22 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure49 Participants
Primary

Number of Participants With Symptomatic Failure

Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

Time frame: 6 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureFailure27 Participants
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure59 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureFailure21 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure69 Participants
Primary

Number of Participants With Symptomatic Failure

Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

Time frame: 5 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureFailure25 Participants
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure66 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureFailure21 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure75 Participants
Primary

Number of Participants With Symptomatic Failure

Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

Time frame: 4 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureFailure19 Participants
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure75 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureFailure20 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure83 Participants
Primary

Number of Participants With Symptomatic Failure

Symptom of bulge on Pelvic Floor Distress Inventory, interval prolapse surgery, or pessary used after index surgery

Time frame: 3 year

Population: This outcome is analyzed in randomized participants who completed the visit at this time point, or who were failures prior to the time point. Excluded from the analyses are prior dropouts who had not yet met the failure criteria.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureFailure16 Participants
BURCH URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure85 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureFailure19 Participants
NO URETHROPEXYNumber of Participants With Symptomatic FailureNon-failure89 Participants

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026