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Which Anti-Incontinence Surgery Option is Better in Patients Undergoing Total Laparoscopic Hysterectomy? Burch Colposuspension or Transobturator Tape Procedure.
Eur J Obstet Gynecol Reprod Biol. 2020 Jun; 249:59-63.EJ

Abstract

OBJECTIVES

Stress urinary incontinence (SUI) surgery and hysterectomy are often performed in the same session. The aim of this study was to determine which urinary incontinence surgery would be a better option for patients who would undergo a hysterectomy for various indications.

STUDY DESIGN

This retrospective study included 65 patients who had undergone total laparoscopic hysterectomy and anti-incontinence surgery (TOT or Burch).A retrospective chart review was performed to record the patient data including demographic features, duration of operations, postoperative complete blood count values and post-void residual urine volumes. ICIQ-UI and UDI-6 interrogations related to urinary incontinence were compared pre- and postoperatively between two groups.

RESULTS

There was no difference in demographic characteristics and menopausal status between groups. No significant difference was found between two groups in postoperative period for urinary incontinence scores (p>0,05). When the duration of operation was compared, the duration was significantly higher in the TOT group. And the hematocrit drop in the group with TOT was significantly higher (p<0.05).

CONCLUSIONS

Because the success rates of Burch colposuspension and transobturator procedures are similar, either of these two methods can be selected according to patient characteristics and surgeon experience. But Burch colposuspension seems to be more preferable in terms of blood loss and operation time than TOT.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Seckin KD
Istanbul Health Sciences University, Kanuni Sultan Suleyman Research and Training Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: doga_seckin@hotmail.com.
Kadirogullari P
Istanbul Health Sciences University, Kanuni Sultan Suleyman Research and Training Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: pinarsezer33@hotmail.com.
Kiyak H
Istanbul Health Sciences University, Kanuni Sultan Suleyman Research and Training Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey. Electronic address: hsynkyk@gmail.com.

MeSH

AdultAgedColposcopyCombined Modality TherapyFemaleHumansHysterectomyLaparoscopyMiddle AgedOperative TimePatient SelectionRetrospective StudiesSuburethral SlingsTreatment OutcomeUrinary Incontinence, Stress

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

32361330

Citation

Seckin, Kerem Doga, et al. "Which Anti-Incontinence Surgery Option Is Better in Patients Undergoing Total Laparoscopic Hysterectomy? Burch Colposuspension or Transobturator Tape Procedure." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 249, 2020, pp. 59-63.
Seckin KD, Kadirogullari P, Kiyak H. Which Anti-Incontinence Surgery Option is Better in Patients Undergoing Total Laparoscopic Hysterectomy? Burch Colposuspension or Transobturator Tape Procedure. Eur J Obstet Gynecol Reprod Biol. 2020;249:59-63.
Seckin, K. D., Kadirogullari, P., & Kiyak, H. (2020). Which Anti-Incontinence Surgery Option is Better in Patients Undergoing Total Laparoscopic Hysterectomy? Burch Colposuspension or Transobturator Tape Procedure. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 249, 59-63. https://doi.org/10.1016/j.ejogrb.2020.04.039
Seckin KD, Kadirogullari P, Kiyak H. Which Anti-Incontinence Surgery Option Is Better in Patients Undergoing Total Laparoscopic Hysterectomy? Burch Colposuspension or Transobturator Tape Procedure. Eur J Obstet Gynecol Reprod Biol. 2020;249:59-63. PubMed PMID: 32361330.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Which Anti-Incontinence Surgery Option is Better in Patients Undergoing Total Laparoscopic Hysterectomy? Burch Colposuspension or Transobturator Tape Procedure. AU - Seckin,Kerem Doga, AU - Kadirogullari,Pinar, AU - Kiyak,Huseyin, Y1 - 2020/04/18/ PY - 2020/02/29/received PY - 2020/04/14/revised PY - 2020/04/15/accepted PY - 2020/5/4/pubmed PY - 2021/3/6/medline PY - 2020/5/4/entrez KW - Anti-incontinence Surgery KW - Burch KW - Hysterectomy KW - Stress Incontinence KW - Transobturator tape SP - 59 EP - 63 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 249 N2 - OBJECTIVES: Stress urinary incontinence (SUI) surgery and hysterectomy are often performed in the same session. The aim of this study was to determine which urinary incontinence surgery would be a better option for patients who would undergo a hysterectomy for various indications. STUDY DESIGN: This retrospective study included 65 patients who had undergone total laparoscopic hysterectomy and anti-incontinence surgery (TOT or Burch).A retrospective chart review was performed to record the patient data including demographic features, duration of operations, postoperative complete blood count values and post-void residual urine volumes. ICIQ-UI and UDI-6 interrogations related to urinary incontinence were compared pre- and postoperatively between two groups. RESULTS: There was no difference in demographic characteristics and menopausal status between groups. No significant difference was found between two groups in postoperative period for urinary incontinence scores (p>0,05). When the duration of operation was compared, the duration was significantly higher in the TOT group. And the hematocrit drop in the group with TOT was significantly higher (p<0.05). CONCLUSIONS: Because the success rates of Burch colposuspension and transobturator procedures are similar, either of these two methods can be selected according to patient characteristics and surgeon experience. But Burch colposuspension seems to be more preferable in terms of blood loss and operation time than TOT. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/32361330/Which_Anti_Incontinence_Surgery_Option_is_Better_in_Patients_Undergoing_Total_Laparoscopic_Hysterectomy_Burch_Colposuspension_or_Transobturator_Tape_Procedure_ DB - PRIME DP - Unbound Medicine ER -