Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh®-SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

• Published in: International urology and nephrology 2020-09, Vol.52 (9), p.1665-1673
• Main Authors: Akdemir, Yesim, Dincer, Fadime, Buyukuysal, Cagatay, Ozmen, Ulku, Harma, Muge, Harma, Mehmet Ibrahim
• Format: Article
• Language: English
• Subjects: Adult; Cohort Studies; Combined Modality Therapy; Female; Humans; Hysterectomy; Medicine; Medicine & Public Health; Middle Aged; Nephrology; Patients; Pelvic Organ Prolapse - complications; Pelvic Organ Prolapse - surgery; Quality of life; Reconstructive surgery; Retrospective Studies; Risk factors; Suburethral Slings; Surgical outcomes; Treatment Outcome; Urinary incontinence; Urinary Incontinence, Stress - complications; Urinary Incontinence, Stress - surgery; Urologic Surgical Procedures - methods; Urology; Urology - Original Paper; Uterine Diseases - complications; Uterine Diseases - surgery
• ISSN: 0301-1623; 1573-2584
• DOI: 10.1007/s11255-020-02549-0

Purpose Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse. The purpose of this study was to evaluate efficacies of Burch colposuspension, transobturator tape (TOT), and single-incision needleless (DynaMesh ® -SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy. Methods We performed this retrospective cohort study that comprising 122 patients who either underwent Burch colposuspension ( n :43), TOT ( n :40), or SIS ( n :39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During the clinical follow-up, we analyzed cure rates, and surgical success rates of SUI surgery, quality of life, and symptom severity by IIQ-7, UDI-6, SSI, SSQ-8, OAB-V8, and PGI-I scale scores. The primary outcome was surgical success, whereas secondary outcomes included complications and patient-reported outcomes in the quality of life. Results We found that surgical success rates were higher in Burch group than SIS group and higher in TOT group than in SIS group (88.4% vs 61.5% and 87.5% vs 61.5%, p  = 0.003). The quality of life was lower in SIS group than in Burch group. Conclusions Both Burch and TOT are effective procedures in patients with SUI who require additional pelvic surgeries. Although surgical outcomes of SIS procedure in patients with SUI who underwent concomitant pelvic surgeries in our study were not promising, further studies with SIS are needed to clarify these observations.