Comparison of outcomes of three different surgical techniques performed for stress urinary incontinence

Background: The aim was to compare the efficacy of Burch colposuspension, transvaginal four‐corner bladder neck suspension (FCBNS) and the vaginal wall sling (VWS) procedures in patients with stress urinary incontinence. Methods: A retrospective analysis was performed on 88 patients who underwent Bu...

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Bibliographic Details
Published in:International journal of urology 2003-03, Vol.10 (3), p.126-130
Main Authors: Kilicarslan, Hakan, Guvenal, Tevfik, Ayan, Semih, Gokce, Gokhan, Cetin, Ali, Gultekin, E Yener
Format: Article
Language:English
Subjects:
Adult
Analysis of Variance
Female
Gynecologic Surgical Procedures - methods
Humans
Middle Aged
Parity
Postoperative Complications
Retrospective Studies
stress urinary incontinence
surgery
Treatment Outcome
Urinary Bladder - pathology
Urinary Bladder - surgery
Urinary Incontinence, Stress - surgery
Urologic Surgical Procedures - methods
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Summary:Background: The aim was to compare the efficacy of Burch colposuspension, transvaginal four‐corner bladder neck suspension (FCBNS) and the vaginal wall sling (VWS) procedures in patients with stress urinary incontinence. Methods: A retrospective analysis was performed on 88 patients who underwent Burch colposuspension (n = 20), FCBNS (n = 29) and VWS (n = 39) for stress urinary incontinence. Objective and subjective cure rates at 3 months and annually after the operation were the primary outcome measures. Results: The patients were similar in age, parity, menopausal status, grade of cystocel and preoperative residual urine volumes. Fourteen out of 20 (70%) patients showed improvement in the group undergoing Burch colposuspension, 29 out of 39 (74.4%) patients showed improvement in the FCBNS group, and 28 out of 29 (96.6%) patients showed improvement in the VWS group. The mean length of follow up was 3.8 years (range 3–5). Conclusion: In this study, the VWS procedure had a higher long‐term cure rate of stress urinary incontinence when compared with the Burch colposuspension and the FCBNS procedures.
ISSN:0919-8172
1442-2042
DOI:10.1046/j.1442-2042.2003.00596.x