Long-term patient-reported outcomes after laparoscopic Burch colposuspension.
Aust N Z J Obstet Gynaecol
; 59(6): 850-855, 2019 12.
Article
in En
| MEDLINE
| ID: mdl-31514249
ABSTRACT
BACKGROUND:
The negative media attention surrounding vaginal mesh procedures has seen a rise in demand for minimally invasive non-mesh options for the treatment of stress urinary incontinence (SUI). The laparoscopic Burch colposuspension (LBC) is a non-mesh alternative to synthetic midurethral slings (MUS) with similar short-term outcomes. However, long-term outcomes are not well established.AIMS:
To evaluate the long-term outcomes of LBC for treatment of SUI in women. MATERIAL ANDMETHODS:
One hundred and fifty-one cases of LBC were performed by a single surgeon over two private hospital settings between January 2010 and January 2016. Follow-up subjective outcomes were obtained in 137 cases (90.7%) utilising standardised questionnaires. Primary outcome was successful treatment of SUI, defined as subjective cure or significant improvement of stress incontinence symptoms. Secondary outcomes included new-onset or worsened symptoms of overactive bladder (OAB), voiding dysfunction, prolapse, and perioperative complications.RESULTS:
One hundred and thirty-seven patients were analysed with a mean follow-up of 50.6 months (range 13-89 months). Primary outcome of successful treatment was achieved in 90.5% of women. New-onset or worsened symptoms of OAB was reported in 10.2%, with a further 8.8% of women experiencing symptomatic voiding dysfunction. Sixteen patients (11.7%) reported new-onset or worsening symptoms of prolapse. There were no major surgical complications.CONCLUSIONS:
LBC is a safe and effective long-term treatment for SUI, with low failure rates and minimal adverse outcomes. It is a suitable alternative for women with contraindications to mesh or those having concomitant laparoscopic procedures.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urinary Incontinence, Stress
/
Laparoscopy
/
Suburethral Slings
Type of study:
Observational_studies
/
Prognostic_studies
Aspects:
Patient_preference
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Aust N Z J Obstet Gynaecol
Year:
2019
Document type:
Article
Affiliation country:
Australia
Publication country:
AU
/
AUSTRALIA
/
AUSTRÁLIA