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. 2009 Dec;24(6):1182-6.
doi: 10.3346/jkms.2009.24.6.1182. Epub 2009 Nov 9.

Long-term results of laparoscopic Burch colposuspension for stress urinary incontinence in women

Jeong Hee Hong  1 , Myung-Soo Choo, Kyu-Sung Lee
Affiliations

Long-term results of laparoscopic Burch colposuspension for stress urinary incontinence in women

Jeong Hee Hong et al. J Korean Med Sci. 2009 Dec.

Abstract

We evaluated the long-term efficacy of laparoscopic Burch colposuspension for stress urinary incontinence (SUI) in women. A total of 68 patients who underwent extraperitoneal laparoscopic Burch colposuspensions with more than a 3-yr follow-up were included. The colposuspension was performed by using two non-absorbable sutures on each side. The patients were considered to be cured of SUI if they had a negative result of cough stress test and there were no reports of urine leakage during physical stress. The mean follow-up period was 52 months (range, 36 to 83 months). The overall subjective cure rate was reported in 49 patients (72%). There was no significant difference between the cured and non-cured group in terms of clinical parameters. The cure rate tended to decline gradually over time and it was more deteriorated significantly after 4 yr of surgery. Based on these results, we recommend that long-term follow-up is needed when evaluating the clinical efficacy of anti-incontinence surgery.

Keywords: Follow-Up Studies; Laparoscopy; Urinary Incontinence, Stress.

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Figures

Fig. 1
Fig. 1
Estimates of the cumulative continence proportion for 68 patients who underwent laparoscopic Burch colposuspensions according to the surgical experience.
See this image and copyright information in PMC

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