Long-Term Results of Laparoscopic Burch Colposuspension for Stress Urinary Incontinence in Women.
10.3346/jkms.2009.24.6.1182
- Author:
Jeong Hee HONG
1
;
Myung Soo CHOO
;
Kyu Sung LEE
Author Information
1. Department of Urology, Dankook University College of Medicine, Cheonan, Korea.
- Publication Type:Original Article
- Keywords:
Urinary Incontinence, Stress;
Laparoscopy;
Follow-Up Studies
- MeSH:
Adult;
Aged;
Female;
Humans;
Laparoscopy/*methods;
Middle Aged;
Patient Satisfaction;
Questionnaires;
Treatment Outcome;
Urinary Incontinence, Stress/*surgery
- From:Journal of Korean Medical Science
2009;24(6):1182-1186
- CountryRepublic of Korea
- Language:English
-
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.
