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A randomized trial of burch retropubic urethropexy and anterior colporrhaphy for stress urinary incontinence.
Obstet Gynecol. 1999 Jan; 93(1):75-8.OG

Abstract

OBJECTIVE

In a randomized trial, we compared the success of Burch retropubic urethropexy to the modified anterior colporrhaphy for the treatment of genuine stress urinary incontinence.

METHODS

Thirty-five patients with stress incontinence were randomly assigned to undergo Burch retropubic urethropexy or modified anterior colporrhaphy. Subjects had preoperative and 1-year postoperative physical examinations, multichannel urodynamic testing, 20-minute pad test, and subjective grading of incontinence severity with questionnaires. Data were evaluated using Fisher exact test, Wilcoxon two-sample test, logistic regression analysis, and analysis of variance.

RESULTS

Objective cure 1 year postoperatively was significantly greater for the women treated by Burch retropubic urethropexy than by modified anterior colporrhaphy (16 of 18 [89%] versus five of 16 [31%], relative risk .15, 95% confidence interval .04, .59). Patients' subjective ratings of incontinence severity 1 year after surgical treatment were significantly lower in women who had Burch retropubic urethropexy.

CONCLUSION

Burch retropubic urethropexy yields a significantly superior objective cure for genuine stress urinary incontinence than the modified anterior colporrhaphy in a randomized trial.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque 87131, USA. dorothy_kammerer@somasf.unm.eduNo 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

9916960

Citation

Kammerer-Doak, D N., et al. "A Randomized Trial of Burch Retropubic Urethropexy and Anterior Colporrhaphy for Stress Urinary Incontinence." Obstetrics and Gynecology, vol. 93, no. 1, 1999, pp. 75-8.
Kammerer-Doak DN, Dorin MH, Rogers RG, et al. A randomized trial of burch retropubic urethropexy and anterior colporrhaphy for stress urinary incontinence. Obstet Gynecol. 1999;93(1):75-8.
Kammerer-Doak, D. N., Dorin, M. H., Rogers, R. G., & Cousin, M. O. (1999). A randomized trial of burch retropubic urethropexy and anterior colporrhaphy for stress urinary incontinence. Obstetrics and Gynecology, 93(1), 75-8.
Kammerer-Doak DN, et al. A Randomized Trial of Burch Retropubic Urethropexy and Anterior Colporrhaphy for Stress Urinary Incontinence. Obstet Gynecol. 1999;93(1):75-8. PubMed PMID: 9916960.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomized trial of burch retropubic urethropexy and anterior colporrhaphy for stress urinary incontinence. AU - Kammerer-Doak,D N, AU - Dorin,M H, AU - Rogers,R G, AU - Cousin,M O, PY - 1999/1/23/pubmed PY - 1999/1/23/medline PY - 1999/1/23/entrez SP - 75 EP - 8 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 93 IS - 1 N2 - OBJECTIVE: In a randomized trial, we compared the success of Burch retropubic urethropexy to the modified anterior colporrhaphy for the treatment of genuine stress urinary incontinence. METHODS: Thirty-five patients with stress incontinence were randomly assigned to undergo Burch retropubic urethropexy or modified anterior colporrhaphy. Subjects had preoperative and 1-year postoperative physical examinations, multichannel urodynamic testing, 20-minute pad test, and subjective grading of incontinence severity with questionnaires. Data were evaluated using Fisher exact test, Wilcoxon two-sample test, logistic regression analysis, and analysis of variance. RESULTS: Objective cure 1 year postoperatively was significantly greater for the women treated by Burch retropubic urethropexy than by modified anterior colporrhaphy (16 of 18 [89%] versus five of 16 [31%], relative risk .15, 95% confidence interval .04, .59). Patients' subjective ratings of incontinence severity 1 year after surgical treatment were significantly lower in women who had Burch retropubic urethropexy. CONCLUSION: Burch retropubic urethropexy yields a significantly superior objective cure for genuine stress urinary incontinence than the modified anterior colporrhaphy in a randomized trial. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/9916960/A_randomized_trial_of_burch_retropubic_urethropexy_and_anterior_colporrhaphy_for_stress_urinary_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0029-7844(98)00360-3 DB - PRIME DP - Unbound Medicine ER -