Prolapse
Conditions
Brief summary
Urinary incontinence will develop after prolapse repair in approximately one quarter of patients with advanced pelvic organ prolapse who remain continent despite significant loss of anterior vaginal and pelvic organ support. Many women with advanced pelvic organ prolapse who choose to undergo surgical management also choose to undergo continence surgery in order to prevent new onset urinary incontinence.
Interventions
PROCEDUREBurch
polyglactin suture was passed through the Cooper's ligament bilaterally with the guidance of the valve
PROCEDUREAbdominal Sacrocolpopexy
* By careful dissection (to avoid large veins in this region), expose the back of the pubic bone and the lateral aspects of the urethra. * The right-handed operator double gloves, and places the left hand in the vagina. * With fingers on either side of the catheter in the vagina, define the urethrovesical junction (at the balloon). * Place three Ethibond J-shaped sutures on either side of the urethrovesical junction.
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
\- Women with 3rd and 4th degree Apical prolapse
Exclusion criteria
* Patients with previous failed surgical intervention * Patients with medical disorders that may interfere with surgical interventions . * Patients with apical prolapsed complaining of stress urinary incontinence
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the percentage of stress incontinence post operative | 3 months | (symptoms, stress testing, or treatment) |
Countries
Egypt
Outcome results
None listed