Department of Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA

This email address is being protected from spam bots, you need Javascript enabled to view it

The objective of the study was to examine changes in bladder symptoms 1 year after abdominal sacrocolpopexy (ASC) with vs without Burch colposuspension.

Women without stress urinary incontinence (SUI) symptoms undergoing ASC were randomized to receive or not receive Burch. One year later, irritative, obstructive, and SUI symptoms were assessed in 305 women using Urogenital Distress Inventory subscales. A composite "stress endpoint" combined SUI symptoms, positive stress test, and retreatment.

In all women, the mean irritative score decreased from 19.6 +/- 16.3 (mean +/- SD) to 9.1 +/- 10.6; for obstructive symptoms, from 34.8 +/- 21.0 to 6.3 +/- 10.4 (both P < .001). Preoperative bothersome irritative symptoms resolved in 74.6% (126 of 169) and obstructive symptoms in 85.1% (212 of 249), independent of Burch. Fewer women with Burch had urge incontinence (14.5% vs 26.8%, P = .048) and fulfilled the stress endpoint (25.0% vs 40.1%, P = .012).

ASC reduced bothersome irritative and obstructive symptoms. Prophylactic Burch reduced stress and urge incontinence.

Written by
Burgio KL, Nygaard IE, Richter HE, Brubaker L, Gutman RE, Leng W, Wei J, Weber AM; Pelvic Floor Disorders Network.

Reference
Am J Obstet Gynecol. 2007 Dec;197(6):647.e1-6
doi:10.1016/j.ajog.2007.08.048

PubMed Abstract
PMID:18060965

UroToday.com Stress Urinary Incontinence (SUI) Section

UroToday.com Urinary Incontinence (UI) Section

UroToday.com Female Urology Section

Please log-in or register in order to submit comments.

Powered by AkoComment!