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A randomised trial of open versus laparoscopic colposuspension for genuine stress incontinence
ISRCTN ISRCTN14969683
DOI 10.1186/ISRCTN14969683
ClinicalTrials.gov identifier
EudraCT number
Public title A randomised trial of open versus laparoscopic colposuspension for genuine stress incontinence
Scientific title
Acronym MRC COLPO Trial
Serial number at source G9721060
Study hypothesis To compare the cure rates in the two intervention groups. Additionally the two procedures will be compared in terms of perioperative morbidity, recovery time, incidence of postoperative voiding dysfunction, de novo detrusor instability and health economic costs to NHS and patient.
Lay summary
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Stress incontinence
Participants - inclusion criteria 1. Any woman for whom a decision has been made to perform a colposuspension for cystometrically proven genuine stress incontinence.
2. Women who have had an anterior colporrhaphy would be eligible as it is considered that their inclusion is pragmatic reflecting everyday practice.
Participants - exclusion criteria 1. Women in whom bladder neck surgery is contraindicated;
2. Women with detrusor instability.
3. Women who have had previous retropubic bladder neck surgery (colposuspension or sling procedure) or sacrocolpopexy.
4. Women who are unhappy to be randomised to laparoscopic colposuspension.
5. Women considered too obese for open colposuspension. (Laparoscopic colposuspension is only to be available as part of the trial.)
Anticipated start date 01/03/1999
Anticipated end date 28/02/2006
Status of trial Completed
Patient information material
Target number of participants 290
Interventions The interventions under study will be open or laparoscopic colposuspension.
Primary outcome measure(s) Primary Outcomes: complete cure of stress incontinence at 24 and 48 months. Symptom improvement classified as: Complete (have never leaked since surgery and no leakage objectively demonstrated),
Acceptable Improvement (matched patient expectations), Inadequate Improvement, No improvement, Worse. Levels of significant operative morbidity.
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (UK)
Trial website
Publications Results: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16956332
Contact name Prof  Henry C  Kitchener
  Address Academic Unit of Obstetrics & Gynaecology Reproductive Healthcare
University of Manchester
St Mary's Hospital
Whitworth Park
  City/town Manchester
  Zip/Postcode M13 0JH
  Country United Kingdom
  Tel +44 (0)161 276 6646
  Fax +44 (0)161 276 6134
  Email henry.kitchener@cmmc.nhs.uk
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 25/10/2000
Last edited 18/07/2007
Date ISRCTN assigned 25/10/2000
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