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A prospective randomized study comparing modified Burch retropubic urethropexy and suburethral sling for treatment of genuine stress incontinence with low-pressure urethra.
Am J Obstet Gynecol. 2000 Jan; 182(1 Pt 1):30-4.AJ

Abstract

OBJECTIVE

The aim of this study was to compare a modified Burch procedure with a suburethral sling for the treatment of stress incontinence complicated by a low-pressure urethra.

STUDY DESIGN

Thirty-six women with stress incontinence, low-pressure urethra, and urethral hypermobility (straining cotton swab angle >/=30 degrees) were randomly assigned to undergo either a modified Burch procedure (n = 19) or a suburethral sling (n = 17). Objective and subjective cure rates at 3 months after the operation were the primary outcome measures. Comparisons of group means were performed with the Student t test for independent groups, and proportions were compared with the Fisher exact test.

RESULTS

After the operation the 2 groups had statistically similar cure rates and voiding function. Urethral closure pressure, pressure transmission ratios, and maximum detrusor pressure during voiding were significantly higher in the sling group.

CONCLUSION

At 3 months there were no clinically significant differences between the groups treated with suburethral sling and modified Burch procedures.

Authors+Show Affiliations

Evanston Continence Center, Evanston Hospital, Northwestern University Medical School, IL, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

10649153

Citation

Sand, P K., et al. "A Prospective Randomized Study Comparing Modified Burch Retropubic Urethropexy and Suburethral Sling for Treatment of Genuine Stress Incontinence With Low-pressure Urethra." American Journal of Obstetrics and Gynecology, vol. 182, no. 1 Pt 1, 2000, pp. 30-4.
Sand PK, Winkler H, Blackhurst DW, et al. A prospective randomized study comparing modified Burch retropubic urethropexy and suburethral sling for treatment of genuine stress incontinence with low-pressure urethra. Am J Obstet Gynecol. 2000;182(1 Pt 1):30-4.
Sand, P. K., Winkler, H., Blackhurst, D. W., & Culligan, P. J. (2000). A prospective randomized study comparing modified Burch retropubic urethropexy and suburethral sling for treatment of genuine stress incontinence with low-pressure urethra. American Journal of Obstetrics and Gynecology, 182(1 Pt 1), 30-4.
Sand PK, et al. A Prospective Randomized Study Comparing Modified Burch Retropubic Urethropexy and Suburethral Sling for Treatment of Genuine Stress Incontinence With Low-pressure Urethra. Am J Obstet Gynecol. 2000;182(1 Pt 1):30-4. PubMed PMID: 10649153.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective randomized study comparing modified Burch retropubic urethropexy and suburethral sling for treatment of genuine stress incontinence with low-pressure urethra. AU - Sand,P K, AU - Winkler,H, AU - Blackhurst,D W, AU - Culligan,P J, PY - 2000/1/29/pubmed PY - 2000/2/19/medline PY - 2000/1/29/entrez SP - 30 EP - 4 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 182 IS - 1 Pt 1 N2 - OBJECTIVE: The aim of this study was to compare a modified Burch procedure with a suburethral sling for the treatment of stress incontinence complicated by a low-pressure urethra. STUDY DESIGN: Thirty-six women with stress incontinence, low-pressure urethra, and urethral hypermobility (straining cotton swab angle >/=30 degrees) were randomly assigned to undergo either a modified Burch procedure (n = 19) or a suburethral sling (n = 17). Objective and subjective cure rates at 3 months after the operation were the primary outcome measures. Comparisons of group means were performed with the Student t test for independent groups, and proportions were compared with the Fisher exact test. RESULTS: After the operation the 2 groups had statistically similar cure rates and voiding function. Urethral closure pressure, pressure transmission ratios, and maximum detrusor pressure during voiding were significantly higher in the sling group. CONCLUSION: At 3 months there were no clinically significant differences between the groups treated with suburethral sling and modified Burch procedures. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/10649153/A_prospective_randomized_study_comparing_modified_Burch_retropubic_urethropexy_and_suburethral_sling_for_treatment_of_genuine_stress_incontinence_with_low_pressure_urethra_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(00)70487-X DB - PRIME DP - Unbound Medicine ER -