A 5-year follow-up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence - Abstract

OBJECTIVE: To compare the effectiveness of transobturator tape (TOT) and Burch colposuspension in the treatment of stress urinary incontinence (SUI).

METHODS: The present retrospective study included 770 patients who underwent SUI surgery with Burch colposuspension (n=498) or TOT (n=272). Clinical follow-up occurred at 2weeks, 3, 6, and 12months, and annually thereafter. Objective and subjective cure rates and intra- and postoperative complications were assessed.

RESULTS: Among patients who had SUI surgery without another concomitant procedure, the Burch group had a significantly longer mean operation time (41.48±10.61minutes versus 23.77±10.49minutes; P< 0.001) and a significantly longer length of hospital stay (3.11±0.49days versus 1.98±0.40days; P< 0.001), compared with the TOT group. The rates of unintended functional outcomes were lower among women undergoing TOT than among those undergoing the Burch procedure (long-term voiding dysfunction 0.7% versus 4.2%, P=0.007; urinary retention 10.7% versus 26.9%, P< 0.001). The 5-year cure rates were similar in the 2 groups (objective cure rate, 73.9% versus 77.5%, P=0.574; subjective cure rate, 76.8% versus 81.7%, P=0.416).

CONCLUSION: In terms of efficacy, TOT appears equal to Burch colposuspension; however, TOT has fewer unintended functional outcomes than Burch colposuspension.

Written by:
Asıcıoglu O, Gungorduk K, Besımoglu B, Ertas IE, Yıldırım G, Celebı I, Ark C, Boran B.   Are you the author?
Department of Obstetrics and Gynecology, Şişli Etfal Education and Research Hospital, Istanbul, Turkey; Department of Gynecologic Oncology, Tepecik Education and Research Hospital, Izmir, Turkey; Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey; Department of Obstetrics and Gynecology, Istanbul Education and Research Hospital, Istanbul, Turkey.

Reference: Int J Gynaecol Obstet. 2013 Dec 14. pii: S0020-7292(13)00644-9.
doi: 10.1016/j.ijgo.2013.09.026


PubMed Abstract
PMID: 24412004

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