protocolSection identificationModule nctId: NCT06292702, orgStudyIdInfo id: Modified Burch Colposuspension, briefTitle: Reducing Early Urinary Disorders After Stress Incontinence Surgery: The Role of Vaginal Wall Tension., statusModule overallStatus: COMPLETED, startDateStruct date: 2022-01-01, primaryCompletionDateStruct date: 2023-10-01, completionDateStruct date: 2024-02-01, studyFirstPostDateStruct date: 2024-03-05, lastUpdatePostDateStruct date: 2024-03-05, sponsorCollaboratorsModule leadSponsor name: Damascus University, class: OTHER, descriptionModule briefSummary: The progress in surgical procedures for treating female stress urinary incontinence has led to the development of tension-free techniques such as the trans-obturator tape (TOT). Nonetheless, concerns regarding complications associated with the use of artificial mesh have sparked renewed interest in traditional retropubic suspension techniques (Burch). This study introduces a modified technique that creates lateral tension for the anterior vaginal wall before the conventional suspending to the Cooper ligament, limiting the tension on the urethra and reducing the risk of postoperative urinary voiding dysfunction with the same success rates. This technique offers the advantages of a tension-free procedure while still providing the benefits of retropubic suspension. Moreover, this modified technique eliminates the need for artificial mesh, reducing the risk of associated complications. This promising alternative offers effective support for the urethra and reduces postoperative emptying disorders. However, further research and studies are necessary to validate the long-term efficacy and safety of this modified technique., conditionsModule conditions: Stress Urinary Incontinence, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: TREATMENT, maskingInfo masking: DOUBLE, whoMasked: PARTICIPANT, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 38, type: ACTUAL, armsInterventionsModule interventions name: Traditional Burch colposuspension, interventions name: Modified Burch colposuspension, outcomesModule primaryOutcomes measure: Subjective voiding dysfunction after surgery, first evaluation, primaryOutcomes measure: Urinary peak flow rate after surgery, first evaluation, primaryOutcomes measure: Residual urine after surgery, first evaluation, primaryOutcomes measure: Urinary retention after surgery, first evaluation, primaryOutcomes measure: Subjective voiding dysfunction after surgery, second evaluation, primaryOutcomes measure: Urinary peak flow rate after surgery, second evaluation, primaryOutcomes measure: Residual urine after surgery, second evaluation, primaryOutcomes measure: Urinary retention after surgery, second evaluation, primaryOutcomes measure: Subjective voiding dysfunction after surgery, third evaluation, primaryOutcomes measure: Urinary peak flow rate after surgery, third evaluation, primaryOutcomes measure: Residual urine after surgery, third evaluation, primaryOutcomes measure: Urinary retention after surgery, third evaluation, secondaryOutcomes measure: Subjective recovery from urinary incontinence, first evaluation, secondaryOutcomes measure: Objective recovery from urinary incontinence, first evaluation, secondaryOutcomes measure: Subjective recovery from urinary incontinence, second evaluation, secondaryOutcomes measure: Objective recovery from urinary incontinence, second evaluation, secondaryOutcomes measure: Subjective recovery from urinary incontinence, third evaluation, secondaryOutcomes measure: Objective recovery from urinary incontinence, third evaluation, eligibilityModule sex: FEMALE, minimumAge: 25 Years, maximumAge: 75 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Damascus university, city: Damascus, country: Syrian Arab Republic, geoPoint lat: 33.5102, lon: 36.29128, hasResults: False