Stress Urinary Incontinence
Conditions
Keywords
Burch colposuspension, laparoscopy, outcome, retropubic, stress urinary incontinence
Brief summary
To evaluate postoperative course, efficacy, and complication rates of Open Burch Colposuspension and Laparoscopic Burch Colposuspension techniques in stress or mixed urinary incontinence at a single training and research hospital over the last 10 years in Istanbul, Turkey.
Detailed description
A retrospective cohort study was conducted in all Burch Colposuspension cases performed between January 2001 and May 2022 at Kanuni Sultan Süleyman Training and Research Center. All patients' data were reviewed from the electronic medical records and analyzed who underwent Burch colposuspension surgery either with an open or laparoscopic approach. The primary outcome was surgical success, whereas secondary outcomes were perioperative and postoperative data including surgical type (open or laparoscopic), operating time, duration of hospital stay, estimated blood loss, complications during surgery, and additional interventional procedure types.
Interventions
PROCEDUREBurch colposuspension
Anti-incontinence surgery for stress urinary incontinence
Sponsors
Kanuni Sultan Suleyman Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
30 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* patients having SUI or mixed urinary incontinence whom conservative therapy (Kegel's pelvic floor exercises, bladder training, electrical stimulation, or medication) failed * SUI had been proven by urodynamic assessments. * patients who had urethral hypermobility supported by a Q-type test with a cotton swab angle greater than 300 * patients having a residual urinary volume of less than 100 mL were included.
Exclusion criteria
* history of anti-incontinence surgery * pelvic inflammatory diseases * urinary retention * SUI with intrinsic sphincter deficiency * neurogenic bladder * suspected malignancy * urge incontinence * chronic cystitis * urinary tract infection * prescription of anticoagulant or antipsychotic treatment * coagulation disorders * physically and medically unsuitable for colposuspension surgery * pregnancy and loss to follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical success | 12 months after intervention | Provided by the patient's feeling of the Absence of a bulge in the vagina |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| estimated blood loss | intraoperative | Blood loss during surgery ( taking blood count-WBC) |
| complications | up to 6 weeks | Complications occurring in between during surgery and 6.th week of surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed