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A 5-year follow-up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence.
Int J Gynaecol Obstet. 2014 Apr; 125(1):73-7.IJ

Abstract

OBJECTIVE

To compare the effectiveness of transobturator tape (TOT) and Burch colposuspension in the treatment of stress urinary incontinence (SUI).

METHODS

The present retrospective study included 770 patients who underwent SUI surgery with Burch colposuspension (n=498) or TOT (n=272). Clinical follow-up occurred at 2 weeks, 3, 6, and 12 months, and annually thereafter. Objective and subjective cure rates and intra- and postoperative complications were assessed.

RESULTS

Among patients who had SUI surgery without another concomitant procedure, the Burch group had a significantly longer mean operation time (41.48 ± 10.61 minutes versus 23.77 ± 10.49 minutes; P<0.001) and a significantly longer length of hospital stay (3.11 ± 0.49 days versus 1.98 ± 0.40 days; P<0.001), compared with the TOT group. The rates of unintended functional outcomes were lower among women undergoing TOT than among those undergoing the Burch procedure (long-term voiding dysfunction 0.7% versus 4.2%, P=0.007; urinary retention 10.7% versus 26.9%, P<0.001). The 5-year cure rates were similar in the 2 groups (objective cure rate, 73.9% versus 77.5%, P=0.574; subjective cure rate, 76.8% versus 81.7%, P=0.416).

CONCLUSION

In terms of efficacy, TOT appears equal to Burch colposuspension; however, TOT has fewer unintended functional outcomes than Burch colposuspension.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Şişli Etfal Education and Research Hospital, Istanbul, Turkey. Electronic address: oasicioglu@gmail.com.Department of Gynecologic Oncology, Tepecik Education and Research Hospital, Izmir, Turkey.Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.Department of Gynecologic Oncology, Tepecik Education and Research Hospital, Izmir, Turkey.Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.Department of Obstetrics and Gynecology, Istanbul Education and Research Hospital, Istanbul, Turkey.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24412004

Citation

Asıcıoglu, Osman, et al. "A 5-year Follow-up Study Comparing Burch Colposuspension and Transobturator Tape for the Surgical Treatment of Stress Urinary Incontinence." International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, vol. 125, no. 1, 2014, pp. 73-7.
Asıcıoglu O, Gungorduk K, Besımoglu B, et al. A 5-year follow-up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence. Int J Gynaecol Obstet. 2014;125(1):73-7.
Asıcıoglu, O., Gungorduk, K., Besımoglu, B., Ertas, I. E., Yıldırım, G., Celebı, I., Ark, C., & Boran, B. (2014). A 5-year follow-up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, 125(1), 73-7. https://doi.org/10.1016/j.ijgo.2013.09.026
Asıcıoglu O, et al. A 5-year Follow-up Study Comparing Burch Colposuspension and Transobturator Tape for the Surgical Treatment of Stress Urinary Incontinence. Int J Gynaecol Obstet. 2014;125(1):73-7. PubMed PMID: 24412004.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A 5-year follow-up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence. AU - Asıcıoglu,Osman, AU - Gungorduk,Kemal, AU - Besımoglu,Berhan, AU - Ertas,Ibrahim E, AU - Yıldırım,Gokhan, AU - Celebı,Ibrahim, AU - Ark,Cemal, AU - Boran,Birtan, Y1 - 2013/12/14/ PY - 2013/06/26/received PY - 2013/09/05/revised PY - 2013/12/11/accepted PY - 2014/1/14/entrez PY - 2014/1/15/pubmed PY - 2014/11/7/medline KW - Burch colposuspension KW - Follow-up KW - Stress urinary incontinence KW - Transobturator tape SP - 73 EP - 7 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JO - Int J Gynaecol Obstet VL - 125 IS - 1 N2 - OBJECTIVE: To compare the effectiveness of transobturator tape (TOT) and Burch colposuspension in the treatment of stress urinary incontinence (SUI). METHODS: The present retrospective study included 770 patients who underwent SUI surgery with Burch colposuspension (n=498) or TOT (n=272). Clinical follow-up occurred at 2 weeks, 3, 6, and 12 months, and annually thereafter. Objective and subjective cure rates and intra- and postoperative complications were assessed. RESULTS: Among patients who had SUI surgery without another concomitant procedure, the Burch group had a significantly longer mean operation time (41.48 ± 10.61 minutes versus 23.77 ± 10.49 minutes; P<0.001) and a significantly longer length of hospital stay (3.11 ± 0.49 days versus 1.98 ± 0.40 days; P<0.001), compared with the TOT group. The rates of unintended functional outcomes were lower among women undergoing TOT than among those undergoing the Burch procedure (long-term voiding dysfunction 0.7% versus 4.2%, P=0.007; urinary retention 10.7% versus 26.9%, P<0.001). The 5-year cure rates were similar in the 2 groups (objective cure rate, 73.9% versus 77.5%, P=0.574; subjective cure rate, 76.8% versus 81.7%, P=0.416). CONCLUSION: In terms of efficacy, TOT appears equal to Burch colposuspension; however, TOT has fewer unintended functional outcomes than Burch colposuspension. SN - 1879-3479 UR - https://www.unboundmedicine.com/medline/citation/24412004/A_5_year_follow_up_study_comparing_Burch_colposuspension_and_transobturator_tape_for_the_surgical_treatment_of_stress_urinary_incontinence_ DB - PRIME DP - Unbound Medicine ER -