Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence

Objective The objective of the study was to describe long-term objective and subjective success rates and complications following transvaginal Burch urethropexy for stress urinary incontinence. Study design A case series of 66 women who underwent vaginal Burch urethropexy for urodynamic stress urina...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2007-12, Vol.197 (6), p.656.e1-656.e5
Main Authors: Rardin, Charles R., MD, Sung, Vivian W., MD, MPH, Hampton, Brittany Star, MD, Clemons, Jeffrey L., MD, Aguilar, Vivian, MD, Sokol, Eric R., MD
Format: Article
Language:English
Subjects:
Adult
antiincontinence surgery
Biological and medical sciences
Burch
Female
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Obstetrics and Gynecology
stress incontinence
suture erosion
Treatment Outcome
Urethra - surgery
urethropexy
Urinary Bladder - surgery
Urinary Incontinence, Stress - surgery
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urogenital Surgical Procedures - adverse effects
Urogenital Surgical Procedures - instrumentation
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Summary:Objective The objective of the study was to describe long-term objective and subjective success rates and complications following transvaginal Burch urethropexy for stress urinary incontinence. Study design A case series of 66 women who underwent vaginal Burch urethropexy for urodynamic stress urinary incontinence with urethral hypermobility using a suture carrier device is presented. Concurrent prolapse repairs were performed as indicated. Results Sixty-six women (mean age 49.4 ± 12.1 years) underwent vaginal Burch urethropexy. Mean follow-up time was 20.9 ± 18.9 months. Objective failure was observed in 16 patients (24.2%). Subjective failure was reported by 21.2% of patients, with 50% and 28.8% reporting success and improvement, respectively. Six patients (9%) experienced febrile illness, 4 (6%) experienced intraoperative hemorrhage, 1 (1.5%) received transfusion, and 1 (1.5%) experienced pelvic abscess. Twelve patients (18.2%) experienced suture erosion; half required surgical revision or excision. Conclusion Vaginal Burch urethropexy is generally well tolerated but is associated with poor long-term success and high suture erosion rates.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2007.08.060