NCT03841513
Minimally Invasive Burch Colposuspension to Reduce Occult Stress Incontinence
NA
COMPLETED
NCT03841513
INTERVENTIONAL
Minimally Invasive Burch Colposuspension to Reduce Occult Stress Incontinence
This study evaluates the addition of a laparoscopic Burch colposuspension procedure at the time of laparoscopic sacrocolpopexy to prevent stress urinary incontinence. Half of the participants will undergo Burch colposuspension procedure at the time of sacrocolpopexy, and half of the participants will undergo sacrocolpopexy alone.
Inclusion Criteria:
* English or Spanish speaking and reading
* Symptomatic pelvic organ prolapse with any compartment at or beyond the hymen
* Stress-continent, as defined as response of "no" to question 17 of PFDI-20: "Do you usually experience urine leakage related to coughing, sneezing, or laughing?", as well as a negative empty supine stress test.
* Planning laparoscopic or robotic sacrocolpopexy, with or without hysterectomy
* Have completed childbearing
Exclusion Criteria:
* Adults unable to consent
* Pregnant women or patients desiring future pregnancy
* Patients undergoing uterine sparing surgery
* Individuals under age 18
* Prior procedure for stress urinary incontinence
* Prior retropubic surgery
Pelvic Organ Prolapse
Urinary Incontinence,Stress
Urinary Incontinence, Urge
Bowel Dysfunction
Sexual Dysfunction
- TREATMENT
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- Type: PROCEDURE
- Name: Laparoscopic Burch Colposuspension
- Description: The Burch Colposuspension is an anti-incontinence procedure where non-absorbable monofilament suture is used in the retropubic space to form a suture bridge between the anterior vagina and Cooper's ligament, thereby gently elevating the anterior vaginal wall and providing urethral support.
- Arm Group Labels: Laparoscopic Burch Colposuspension
- Northwestern University