Laparoscopic Burch Colposuspension Versus Modified Burch Colposuspension
NCT ID: NCT05616481
Last Updated: 2025-05-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
120 participants
INTERVENTIONAL
2022-01-01
2025-07-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Laparoscopic Burch
The original procedure will be performed
Laparoscopic Burch colposuspension
The original Burch procedure will be performed
Laparoscopic modefied Burch procedur (TOT-like)
Sutures on the pubocervical fascia are placed at the level of the attachment of the arcus tendinous fascia pelvis and the pubourethral ligament.
Modefied Burch (TOT - like)
more lateral fixation to avoid post-operative voiding dysfunction
Interventions
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Laparoscopic Burch colposuspension
The original Burch procedure will be performed
Modefied Burch (TOT - like)
more lateral fixation to avoid post-operative voiding dysfunction
Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
18 Years
FEMALE
No
Sponsors
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Al-Azhar University
OTHER
Responsible Party
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Mohamed Fawzy Abd Elfattah Salman
Director
Locations
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Mohamed Fawzy Salman
Cairo, Cairo Governorate, Egypt
Countries
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Central Contacts
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Facility Contacts
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References
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Abrar S, Razzak L, Mohsin R. The practice of Burch Colposuspension versus Mid Urethral Slings for the treatment of Stress Urinary Incontinence in developing country. Pak J Med Sci. 2021 Sep-Oct;37(5):1359-1364. doi: 10.12669/pjms.37.5.4017.
Aleksandrov A, Meshulam M, Rabischong B, Botchorishvili R. Laparoscopic TOT-like Burch Colposuspension: Back to the Future? J Minim Invasive Gynecol. 2021 Jan;28(1):24-25. doi: 10.1016/j.jmig.2020.04.018. Epub 2020 Apr 24.
Carmel ME, Deng DY, Greenwell TJ, Zimmern PE. Definition of Success after Surgery for Female Stress Incontinence or Voiding Dysfunction: An Attempt at Standardization. Eur Urol Focus. 2016 Aug;2(3):231-237. doi: 10.1016/j.euf.2016.03.005. Epub 2016 Mar 26.
Kim A, Kim S, Kim HG. Current Overview of Surgical Options for Female Stress Urinary Incontinence. Int Neurourol J. 2020 Sep;24(3):222-230. doi: 10.5213/inj.2040052.026. Epub 2020 Sep 30.
Marquini GV, Bella ZIKJD, Sartori MGF. Burch Procedure: A Historical Perspective. Rev Bras Ginecol Obstet. 2022 May;44(5):511-518. doi: 10.1055/s-0042-1744312. Epub 2022 Feb 18.
Other Identifiers
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Burch versus Modefied Burch
Identifier Type: -
Identifier Source: org_study_id
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