Analysis of the long-term outcomes of different secondary surgeries for recurrent stress urinary incontinence after Burch colposuspension
10.3760/cma.j.cn112141-20220504-00295
- VernacularTitle:Burch手术治疗压力性尿失禁后复发患者二次手术的长期治疗结局分析
- Author:
Yang YE
1
;
Weijie TIAN
;
Yuan WANG
;
Jianbin GUO
;
Qianqian GAO
;
Lan ZHU
Author Information
1. 中国医学科学院北京协和医学院北京协和医院妇产科 国家妇产疾病临床医学研究中心，北京 100730
- Keywords:
Urinary incontinence, stress;
Suburethral slings;
Recurrence;
Reoperation;
Treatment outcome
- From:
Chinese Journal of Obstetrics and Gynecology
2022;57(10):753-757
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the long-term outcomes of different secondary surgeries in women with recurrent stress urinary incontinence (SUI) after Burch colposuspension.Methods:Between February 2004 to February 2010, five women with recurrent SUI after Burch colposuspension in Peking Union Medical College Hospital were retrospectively followed up, and the long-term outcomes of secondary surgeries were analyzed. Subjective cures of Burch colposuspension and secondary surgeries were assessed by patients′ self-reported incontinence symptoms and patient global impression of improvement questionnaire; objective cure, improvement or failure were determined by 1-hour pad test.Results:Three women underwent tension-free vaginal tape-retropubic (TVT) as the secondary surgery, one underwent tension-free vaginal tape-obturator (TVT-O), and one underwent single-incision tension-free vaginal tape-Secur (TVT-Secur). The follow-up period of five women was (14.6±2.4) years (range: 10.8 to 16.9 years). Three women undergoing TVT secondary surgery were subjectively cured; while the other two women undergoing TVT-O or TVT-Secur were not subjectively cured, but the woman undergoing TVT-O was objectively improved.Conclusions:It is feasible for women with recurrent SUI after Burch colposuspension to receive the secondary surgery. Our limited data suggests that TVT could be considered.
