Outcomes After Sacrocolpopexy With and Without Burch to Prevent Stress Urinary Incontinence in 3rd and 4th Degree Apical Uterine Prolapse
Primary Purpose
Prolapse
Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Burch
Abdominal Sacrocolpopexy
Sponsored by
About this trial
This is an interventional prevention trial for Prolapse
Eligibility Criteria
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
Sites / Locations
- Ahmed Abbas
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Study group
control group
Arm Description
Abdominal Sacrocolpopexy with burch technique
Abdominal Sacrocolpopexy without burch technique
Outcomes
Primary Outcome Measures
the percentage of stress incontinence post operative
(symptoms, stress testing, or treatment)
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03609229
Brief Title
Outcomes After Sacrocolpopexy With and Without Burch to Prevent Stress Urinary Incontinence in 3rd and 4th Degree Apical Uterine Prolapse
Official Title
Outcomes After Sacrocolpopexy With and Without Burch to Prevent Stress Urinary Incontinence in 3rd and 4th Degree Apical Uterine Prolapse. Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
September 1, 2018 (Actual)
Primary Completion Date
June 30, 2020 (Actual)
Study Completion Date
August 1, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Assiut University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prolapse
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Study group
Arm Type
Experimental
Arm Description
Abdominal Sacrocolpopexy with burch technique
Arm Title
control group
Arm Type
Active Comparator
Arm Description
Abdominal Sacrocolpopexy without burch technique
Intervention Type
Procedure
Intervention Name(s)
Burch
Intervention Description
polyglactin suture was passed through the Cooper's ligament bilaterally with the guidance of the valve
Intervention Type
Procedure
Intervention Name(s)
Abdominal Sacrocolpopexy
Intervention Description
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.
Primary Outcome Measure Information:
Title
the percentage of stress incontinence post operative
Description
(symptoms, stress testing, or treatment)
Time Frame
3 months
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Facility Information:
Facility Name
Ahmed Abbas
City
Assiut
State/Province
Cairo
ZIP/Postal Code
002
Country
Egypt
12. IPD Sharing Statement
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Outcomes After Sacrocolpopexy With and Without Burch to Prevent Stress Urinary Incontinence in 3rd and 4th Degree Apical Uterine Prolapse
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