At a glance
ClinicalIndex Comparison Record- ✓Predominant stress urinary incontinence confirmed by self-report, examination, and testing
- ✓Documented urethral hypermobility
- ✓Eligible for both surgical procedures (Burch and autologous fascia sling)
- ✓Ambulatory status
- ✕Systemic disease known to affect bladder function
- ✕Current chemotherapy or radiation therapy
- ✕History of urethral diverticulum, augmentation cytoplasty, or artificial sphincter
- ✕Recent pelvic surgery
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Randomized Clinical Trial of the Burch Modified Tanagho and Autologous Fascia Sling Procedures for Women With Predominantly Stress Urinary Incontinence
In Brief
A Phase 3 clinical trial evaluating Burch Modified Tanagho and Autologous Fascia Sling for Urinary Incontinence. Completed, enrolled 655 participants across 9 sites.
Detailed Summary
The primary aim of this clinical trial is to compare the treatment success for two surgical procedures that are frequently used and have similar cure rates, yet have not been compared directly to each other in a large, rigorously conducted randomized trial. The secondary aims of the trial are to compare other outcomes for the two surgical procedures, including quality of life, sexual function, satisfaction with treatment outcomes, complications, and need for other treatment(s)after surgery. Follow-up will be a minimum of two years and up to four years.
Study Details
Timeline
Interventions
The Burch colposuspension is a well-established procedure for surgically treating women with stress urinary incontinence. The Burch modified colposuspension suspends the anterior vaginal wall (at the level of the bladder neck) with permanent sutures tied to the iliopectineal ligament.
The fascial sling is also a well-established procedure for surgically treating women with stress urinary incontinence. The autologous sling procedure places a harvested strip of rectus fascia transvaginally at the level of the proximal urethra. The fascial strip is secured superiorly to the rectus fascia with permanent sutures