J Korean Med Sci.  2009 Dec;24(6):1182-1186. 10.3346/jkms.2009.24.6.1182.

Long-Term Results of Laparoscopic Burch Colposuspension for Stress Urinary Incontinence in Women

• Hong JH
• Choo MS
• Lee KS

• KMID: 1783152
• DOI: http://doi.org/10.3346/jkms.2009.24.6.1182

Abstract

We evaluated the long-term efficacy of laparoscopic Burch colposuspension for stress urinary incontinence (SUI) in women. A total of 68 patients who underwent extraperitoneal laparoscopic Burch colposuspensions with more than a 3-yr follow-up were included. The colposuspension was performed by using two non-absorbable sutures on each side. The patients were considered to be cured of SUI if they had a negative result of cough stress test and there were no reports of urine leakage during physical stress. The mean follow-up period was 52 months (range, 36 to 83 months). The overall subjective cure rate was reported in 49 patients (72%). There was no significant difference between the cured and non-cured group in terms of clinical parameters. The cure rate tended to decline gradually over time and it was more deteriorated significantly after 4 yr of surgery. Based on these results, we recommend that long-term follow-up is needed when evaluating the clinical efficacy of anti-incontinence surgery.

Keyword

Urinary Incontinence, Stress; Laparoscopy; Follow-Up Studies

MeSH Terms

Adult
Aged
Female
Humans
Laparoscopy/*methods
Middle Aged
Patient Satisfaction
Questionnaires
Treatment Outcome
Urinary Incontinence, Stress/*surgery

Figure

• 

  Fig. 1 Estimates of the cumulative continence proportion for 68 patients who underwent laparoscopic Burch colposuspensions according to the surgical experience.

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