Introduction: Burch colposuspension is still estimated as a 'gold standard' by the Cochrane Collaboration Group in the treatment of operative stress urinary incontinence (SUI) Some urogynecologists agree with this statement, some argue that Burch colposuspension should no longer be used.
Objective: The aim of this study was to evaluate mid-term effects and patient's satisfaction with standardized modified colposuspension performed in one centre.
Material And Methods: Modified colposuspension was performed after standardization by 2 trained gynaecologists in 354 women. Data collected from 227 women were added to the final analysis of mid-term results. Average time from the operation to mid-term visit was 19 months (range 9-36 months).
Results: At mid-term visit, 86.3% of patients were cured. There was no case of post-void urine residual over 100 ml. Pain near the operated region was reported by 1 woman from agricultural region. No one reported negative impact of modified colposuspension on sexual activity or dyspareunia.
Conclusions: Modified colposuspension according to the E. Petri technique seems to be an operation that is safe and well-tolerated by women with preoperative stress urinary incontinence and paravaginal defect without urodynamic signs of ISD in mid-term observation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.5604/12321966.1152082 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Evaluating Patient Preferences and Clinical Outcomes for Modified Laparoscopic Burch Colposuspension and Transobturator Tape Procedures in Stress Urinary Incontinence Treatment.
Life (Basel)
March 2024
Department of Obstetrics and Gynecology, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Objective: This study aims to provide an in-depth analysis of patient preferences and clinical outcomes associated with two prominent surgical techniques for treating Stress Urinary Incontinence (SUI): the modified laparoscopic Burch colposuspension and the transobturator tape (TOT) procedure.
Material And Methods: A prospective cohort study was conducted on 145 patients who recieved surgical treatment for SUI, of which 71 patients (49%) underwent the modified laparoscopic Burch procedure, while 74 patients (51%) received the TOT procedure. Data on clinical characteristics, treatment success rates, and postoperative outcomes were collected and analyzed to understand patient preferences and real-world clinical effectiveness.
A levator ani midurethral support via single vaginal incision technique to treat stress urinary incontinence: A case report.
Case Rep Womens Health
September 2023
Division of Urology, Department of Surgery, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
Stress urinary incontinence affects more than one-fourth of adult women. The recommended surgical treatment involves the use of a synthetic mesh sling. Upon unsuccessful treatment using a mesh sling or when patients decline mesh, surgical treatments, including an autologous fascia sling, colposuspension, or bulking injections, are used.
View Article and Find Full Text PDFLaparoscopic monolateral suspension for vaginal vault prolapse: a report of an exit surgical strategy during sacralcolpopexy.
BMC Surg
September 2020
Institute for Maternal and Child Health, I.R.C.C.S. "Burlo Garofolo", Trieste, Italy.
Background: Vaginal vault prolapse is the most frequent long-term complication in patients undergoing hysterectomy and sacralcolpopexy is considered the gold standard. We report our surgical strategy maintaining single-arm mesh when the sacral promontory is not accessible to fix the mesh for an unknown sacral osteophytosis during a laparoscopic sacralcolpopexy. This is significant because, to our knowledge, the bone variant as a procedure limiting factor has never been described before.
View Article and Find Full Text PDFLaparoscopic TOT-like Burch Colposuspension: Back to the Future?
J Minim Invasive Gynecol
January 2021
Department of Gynecological Surgery, CHU Estaing, Clermont-Ferrand, France (Drs. Aleksandrov, Meshulam, Rabischong, and Botchorishvili).
Objective: To demonstrate a modification of the classic Burch procedure, called "laparoscopic transobturator tape (TOT)-like Burch colposuspension." The technique does not involve any type of prosthesis placement, and it is an alternative for patients with stress urinary incontinence in a future without meshes. Describing and standardizing the procedure in different steps makes the surgery reproducible for gynecologists and safe for the patients.
View Article and Find Full Text PDFOld wine into new wineskins: an update for female stress urinary incontinence.
Curr Opin Obstet Gynecol
December 2019
Geisel School of Medicine, Division of Female Pelvic Medicine and Reconstructive Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Purpose Of Review: To review minimally invasive modifications of traditional surgeries for female stress urinary incontinence (SUI) in light of increased demand.
Recent Findings: Prior to the synthetic mid-urethral sling (MUS), traditional procedures were used to correct SUI. Often these were retropubic colposuspension procedures for a hypermobile urethra and fascial slings for sphincter deficiency but fell out of favor because of increased morbidity compared with synthetic MUS.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!