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5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence.
J Urol. 2012 Apr; 187(4):1324-30.JU

Abstract

PURPOSE

We characterized continence, satisfaction and adverse events in women at least 5 years after Burch urethropexy or fascial sling with longitudinal followup of randomized clinical trial participants.

MATERIALS AND METHODS

Of 655 women who participated in a randomized surgical trial comparing the efficacy of the Burch and sling treatments 482 (73.6%) enrolled in this long-term observational study. Urinary continence status was assessed yearly for a minimum of 5 years postoperatively. Continence was defined as no urinary leakage on a 3-day voiding diary, and no self-reported stress incontinence symptoms and no stress incontinence surgical re-treatment.

RESULTS

Incontinent participants were more likely to enroll in the followup study than continent patients (85.5% vs 52.2%) regardless of surgical group (p<0.0001). Overall the continence rates were lower in the Burch urethropexy group than in the fascial sling group (p=0.002). The continence rates at 5 years were 24.1% (95% CI 18.5 to 29.7) vs 30.8% (95% CI 24.7 to 36.9), respectively. Satisfaction at 5 years was related to continence status and was higher in women undergoing sling surgery (83% vs 73%, p=0.04). Satisfaction decreased with time (p=0.001) and remained higher in the sling group (p=0.03). The 2 groups had similar adverse event rates (Burch 10% vs sling 9%) and similar numbers of participants with adverse events (Burch 23 vs sling 22).

CONCLUSIONS

Continence rates in both groups decreased substantially during 5 years, yet most women reported satisfaction with their continence status. Satisfaction was higher in continent women and in those who underwent fascial sling surgery, despite the voiding dysfunction associated with this procedure.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Loyola University Chicago, Stritch School of Medicine, Chicago, Illinois 60153, USA. L.Brubaker@lumc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22341290

Citation

Brubaker, L, et al. "5-year Continence Rates, Satisfaction and Adverse Events of Burch Urethropexy and Fascial Sling Surgery for Urinary Incontinence." The Journal of Urology, vol. 187, no. 4, 2012, pp. 1324-30.
Brubaker L, Richter HE, Norton PA, et al. 5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence. J Urol. 2012;187(4):1324-30.
Brubaker, L., Richter, H. E., Norton, P. A., Albo, M., Zyczynski, H. M., Chai, T. C., Zimmern, P., Kraus, S., Sirls, L., Kusek, J. W., Stoddard, A., Tennstedt, S., & Gormley, E. A. (2012). 5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence. The Journal of Urology, 187(4), 1324-30. https://doi.org/10.1016/j.juro.2011.11.087
Brubaker L, et al. 5-year Continence Rates, Satisfaction and Adverse Events of Burch Urethropexy and Fascial Sling Surgery for Urinary Incontinence. J Urol. 2012;187(4):1324-30. PubMed PMID: 22341290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence. AU - Brubaker,L, AU - Richter,H E, AU - Norton,P A, AU - Albo,M, AU - Zyczynski,H M, AU - Chai,T C, AU - Zimmern,P, AU - Kraus,S, AU - Sirls,L, AU - Kusek,J W, AU - Stoddard,A, AU - Tennstedt,S, AU - Gormley,E Ann, AU - ,, Y1 - 2012/02/15/ PY - 2011/07/06/received PY - 2012/2/21/entrez PY - 2012/2/22/pubmed PY - 2013/7/9/medline SP - 1324 EP - 30 JF - The Journal of urology JO - J Urol VL - 187 IS - 4 N2 - PURPOSE: We characterized continence, satisfaction and adverse events in women at least 5 years after Burch urethropexy or fascial sling with longitudinal followup of randomized clinical trial participants. MATERIALS AND METHODS: Of 655 women who participated in a randomized surgical trial comparing the efficacy of the Burch and sling treatments 482 (73.6%) enrolled in this long-term observational study. Urinary continence status was assessed yearly for a minimum of 5 years postoperatively. Continence was defined as no urinary leakage on a 3-day voiding diary, and no self-reported stress incontinence symptoms and no stress incontinence surgical re-treatment. RESULTS: Incontinent participants were more likely to enroll in the followup study than continent patients (85.5% vs 52.2%) regardless of surgical group (p<0.0001). Overall the continence rates were lower in the Burch urethropexy group than in the fascial sling group (p=0.002). The continence rates at 5 years were 24.1% (95% CI 18.5 to 29.7) vs 30.8% (95% CI 24.7 to 36.9), respectively. Satisfaction at 5 years was related to continence status and was higher in women undergoing sling surgery (83% vs 73%, p=0.04). Satisfaction decreased with time (p=0.001) and remained higher in the sling group (p=0.03). The 2 groups had similar adverse event rates (Burch 10% vs sling 9%) and similar numbers of participants with adverse events (Burch 23 vs sling 22). CONCLUSIONS: Continence rates in both groups decreased substantially during 5 years, yet most women reported satisfaction with their continence status. Satisfaction was higher in continent women and in those who underwent fascial sling surgery, despite the voiding dysfunction associated with this procedure. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/22341290/5_year_continence_rates_satisfaction_and_adverse_events_of_burch_urethropexy_and_fascial_sling_surgery_for_urinary_incontinence_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2011.11.087?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -