Laparoscopic Burch colposuspension after failed sub-urethral tape procedures: a retrospective audit

De Cuyper, Eva M., Ismail, Rozihan and Maher, Christopher F. (2008) Laparoscopic Burch colposuspension after failed sub-urethral tape procedures: a retrospective audit. International Urogynecology Journal, 19 5: 681-685. doi:10.1007/s00192-007-0506-6


Author De Cuyper, Eva M.
Ismail, Rozihan
Maher, Christopher F.
Title Laparoscopic Burch colposuspension after failed sub-urethral tape procedures: a retrospective audit
Journal name International Urogynecology Journal   Check publisher's open access policy
ISSN 0937-3462
1433-3023
Publication date 2008-05-01
Year available 2008
Sub-type Article (original research)
DOI 10.1007/s00192-007-0506-6
Volume 19
Issue 5
Start page 681
End page 685
Total pages 5
Place of publication London, United Kingdom
Publisher Springer U K
Language eng
Abstract Our objective was to evaluate the outcome of laparoscopic Burch colposuspension in women with recurrent stress urinary incontinence after failed primary sub-urethral tape procedures. A total of 16 patients were identified, and their data from symptom-specific questionnaires, urodynamic studies and urogynaecological assessment were collected. At a median follow-up of 24.5 months, objective and subjective cure rates were 54.5% and 92.9%, respectively. Average satisfaction score regarding outcome after surgery was 9.3 on a rating scale from 0 to 10. All but one patient had symptoms of urge incontinence pre-operatively with 64.3% experiencing cure or improvement post-operatively. Voiding difficulties were observed in one patient, and post-operative urodynamics revealed a significant decrease in urinary flow rate (p < 0.05) but with no difference in urinary residuals or maximum urethral closure pressure. Severe peri-urethral fibrosis was identified in 62.5% of the patients. Laparoscopic Burch colposuspension is an effective and safe surgical option.
Keyword Laparoscopic Burch colposuspension
Sub-urethral tape
Recurrent stress urinary incontinence
Re-operation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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