Stress urinary incontinence
Conditions
Interventions
1. Study Setting(s)
The study will be conducted at the following locations:
• Primary site: Professorial Gynaecology Unit, Colombo North Teaching Hospital (CNTH), Ragama.
• Secondary sites: Gynaecolog
Sponsors
Dr. Prabath Randombage
Eligibility
Inclusion criteria
Inclusion criteria: • Adult women clinically diagnosed with stress urinary incontinence (SUI). • Consented for laparoscopic Burch colposuspension. • No prior surgical treatment for SUI. • Aged 30-70 years
Exclusion criteria
Exclusion criteria: • Presence of urge incontinence or mixed incontinence with urge symptoms as the dominant component. • History of recurrent SUI, or grade >2 pelvic organ prolapse. • Contraindications to general anesthesia or laparoscopic surgery (e.g., severe obesity, significant comorbidities).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective continence success: Absence of urinary leakage during a standardized pad test [6 and 12 months post-surgery.] | — |
Secondary
| Measure | Time frame |
|---|---|
| Subjective continence success using a questionnaire [at 6 weeks,6 and 12 moths post-surgery ] Operative time (minutes). [ during the surgey ] Early post-operative complications of laparoscopic Burch colposuspension. Retropubic bleeding/hematoma ? tachycardia, falling Hb, suprapubic mass · Urinary retention/incomplete emptying (from over-elevation/edema) · Port-site issues: bleeding, infection; rarely early hernia · Ileus; unrecognized bowel/urinary tract injury presenting late with peritonitis or hematuria [During surgery –2 weeks ] Intermediate Post-operative complications of laparoscopic Burch colposuspension De novo urgency/urge incontinence (detrusor overactivity) · Voiding dysfunction/obstructive symptoms, high post-void residuals · Suture-related problems: intravesical/urethral suture ? irritative LUTS, hematuria, calculus · Retropubic abscess or infected hematoma · Pelvic/suprapubic pain; neuropathic groin pain (ilioinguinal/genitofemoral entrapment) · Dyspareunia Late · Recurrent stress urinary incontinence (failure of suspension) [2 weeks –12 weeks] Chronic post operative complications of Burch Coloposuspension Urinary retention/obstruction · Bladder/urethral erosion or, very rarely, fistula [ After 2 weeks] Patient satisfaction and quality-of-life improvement (measured using validated scales such as the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form [ICIQ- UI SF]). [ At 6 and 12 months post surgery] | — |
Countries
Sri Lanka
Contacts
Public ContactDr.Prabath Randombage
Senior Lecturer (Grade II) Department of Obstetrics & Gynaecology
Outcome results
None listed