Burch Colposuspention, Stress Urinary Incontinence
Conditions
Keywords
Stress urinary incontinence, Burch Colposuspension, TOT
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)
Interventions
The original Burch procedure will be performed
more lateral fixation to avoid post-operative voiding dysfunction
Sponsors
Study design
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The success rates of both laparoscopic Burch colposuspension versus laparoscopic modified Burch colposuspension for treatment of female stress urinary incontinence | 3 months post operative |
Secondary
| Measure | Time frame |
|---|---|
| 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) |
Countries
Egypt