Randomized Comparison of Burch Urethropexy Procedures Concomitant with Gynecologic Operations

Vol. 59, No. 1, 2005

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Original Article

Randomized Comparison of Burch Urethropexy Procedures Concomitant with Gynecologic Operations
Yusuf Üstün, Yaprak Engin-Üstün, Mete Güngör, Sevgi Tezcan

Department of Gynecology and Obstetrics, Ankara University Faculty of Medicine, Ankara, Turkey

Address of Corresponding Author

Gynecol Obstet Invest 2005;59:19-23 (DOI: 10.1159/000080619)

Key Words

Laparoscopy
Laparotomy
Burch colposuspension
Gynecologic operations

Abstract

Objective: We compared the success of laparoscopic Burch colposuspension with the laparotomic Burch colposuspension for the treatment of genuine stress incontinence (GSI) concomitant with gynecologic operations. Materials and Methods: Fifty-two women with symptoms of GSI, also requiring additional gynecologic operations, were randomly assigned to undergo laparoscopic (n = 26) or laparotomic (n = 26) Burch colposuspension. For all patients complete histories were taken and physical examination, urinalysis, urine culture, multi-channel urodynamics with cystometry, uroflowmetry, and measurement of Valsalva leak-point pressure were performed. Variables analyzed included: age, surgical time, length of catheterization, number of days in hospital, and complications. Results: Both groups were similar in age, parity and menopausal status. Valsalva leak-point pressure significantly increased in the laparoscopy group after the operation. There were no statistical differences in other urodynamics in both groups. The mean operating time in the laparoscopy group was longer than in the laparotomy group. The laparoscopy group required a significantly shorter hospitalization and catheterization than the laparotomy group. The success and complication rates did not differ significantly for both groups. Conclusion: The laparoscopic approach for the treatment of GSI in patients requiring additional gynecologic procedures is associated with a shorter duration of hospital stay compared with the abdominal approach.

Author Contacts

Yrd. Doç. Dr. Yusuf Üstün
Mehmet Buyruk Cad. No: 75
Re scedil at Turgut sitesi B blok Daire: 20
TR-44069 Malatya (Türkiye)
Tel. +90 535 8431870, Fax +90 422 3410728, E-Mail ustunyus@yahoo.com

Article Information

Received: August 19, 2003
Accepted after revision: May 4, 2004
Published online: September 1, 2004
Number of Print Pages : 5
Number of Figures : 0, Number of Tables : 3, Number of References : 13

Medline Abstract (ID 15627777)

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