Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence

Brubaker, Linda; Cundiff, Geoffrey W.; Fine, Paul; Nygaard, Ingrid; Richter, Holly E.; Visco, Anthony G.; Zyczynski, Halina M.; Brown, Morton B.; Weber, Anne M.

doi:10.1056/nejmoa054208

Cited by 468 publications

(306 citation statements)

References 26 publications

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“…However, considerable debate exists as to perform a prophylactic anti-incontinence procedure during prolapse reconstructive surgery. A recent randomized trial compared abdominal sacrocolpopexy with Burch colposuspension to a control group without the Burch procedure in women without preoperative symptoms of SUI [Brubaker et al, 2006]. After a [Brubaker et al, 2006].…”

Section: Discussionmentioning

confidence: 99%

“…A recent randomized trial compared abdominal sacrocolpopexy with Burch colposuspension to a control group without the Burch procedure in women without preoperative symptoms of SUI [Brubaker et al, 2006]. After a [Brubaker et al, 2006]. Although these ¢ndings cannot be generalized and further studies and long-term data are required, they suggest that the addition of an anti-incontinence procedure with prolapse repair may reduce the risk of postoperative SUI.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction

Amrute

Eisenberg

Rastinehad

et al. 2006

Neurourology and Urodynamics

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Aims: A 2.5-year outcome analysis was performed on patients who underwent transvaginal repair of total pelvic organ prolapse with single polypropylene mesh. A description of the repair technique using a tension-free 4-point ¢xation is also reviewed. Methods: After proper vaginal dissection, a specially fashioned ''H'' shaped polypropylene mesh is positioned and ¢xed at 4-points. With a single piece of mesh, the anterior arms provide mid-urethral and bladder neck support, the mid-portion of the mesh corrects anterior compartment defects, and the posterior arms aid in vaginal vault suspension. Initially, bone anchors were utilized for anterior ¢xation, but currently a tension-free method is used. A retrospective analysis using chart review was performed on 96 patients who underwent this procedure from January 2000 to June 2005. Additional information was gathered by a telephone survey using a questionnaire. Statistical analysis was performed using Student's t-test, with Sigma Stat 1 . Results: Seventy-six patients (79%) were available with a mean follow-up time of 30.7 AE 1.7 months and mean age of 69.3 AE 11.3. Among those with follow-up, 36 patients (47.4%) underwent concurrent hysterectomies. Recurrence of prolapse was reported by four patients (5.2%). Sixty-eight patients (89%) were completely dry or almost dry, de¢ned as an occasional leak. For those with preoperative incontinence (n ¼ 36), average pad use per day decreased signi¢cantly from 2.1 AE 0.4 to 0.8 AE 0.2 (P < 0.005) postoperatively. Twelve patients (15.7%) reported of de novo urgency. Six patients required reoperation including excision of vaginal mesh erosion (2), uretholysis for obstruction (1), removal of palpable vaginal suture (1), and recurrent SUI (2). Among the 21 patients who are sexually active, 19 denied any dyspareunia (90.4%). Patient satisfaction was high, as the mean value was 7.9 AE 0.3 on a scale of 1 (least satis¢ed) to 10 (most satis¢ed). Conclusions: Transvaginal repair of complete pelvic prolapse using polypropylene mesh is a safe and e⁄cacious option, with minimal recurrence of prolapse and SUI. While two patients had vaginal erosions, no urethral or bladder erosions occurred. Patient satisfaction was overall favorable. Neurourol. Urodynam. 26:53^58, 2007. ß 2006

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction

Amrute

Eisenberg

Rastinehad

et al. 2006

Neurourology and Urodynamics

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“…The full methods of the CARE trial and its primary outcomes have been previously published. 17,18 Participants were drawn from women with symptomatic pelvic organ prolapse presenting to the clinical PFDN sites. Women were eligible if they planned sacrocolpopexy for stages II-IV pelvic organ prolapse (per pelvic organ prolapse quantitative system [POP-Q]) 19 and they answered "never" or "rarely" to six of the stress incontinence questions from the Medical, Epidemiologic, and Social Aspects of Aging (MESA) questionnaire.…”

Section: The Care Studymentioning

confidence: 99%

Enhancing Participation of Older Women in Surgical Trials

Goode

FitzGerald

Richter

et al. 2008

Journal of the American College of Surgeons

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“…Interestingly, up to 44% of patients without incontinence will develop stress urinary incontinence (SUI) once the prolapse is surgically reduced. 18 This so-called latent, or occult, SUI occurs when obstruction of the outlet caused by the prolapse is corrected, thus unmasking SUI. Latent SUI should be sought by the clinician during physical examination or UDS with the prolapse manually reduced (e.g., pessary), as it may impact the treatment plan and outcomes.…”

Section: Pop For Urologistsmentioning

confidence: 99%

Pelvic organ prolapse: A primer for urologists

Bureau¹,

Carlson²

2017

CUAJ

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Pelvic organ prolapse (POP) results from weakness or injury of the pelvic floor supports with resulting descent of one or more vaginal compartments (anterior, apical and/or posterior). Women typically become symptomatic from the bulging vaginal wall or related organ dysfunction once this descent reaches the introitus. POP is a common condition, affecting more than half of adult women. Many women presenting to an urologist for stress urinary incontinence or overactive bladder will have associated POP; therefore, it is important for urologists who treat these conditions to be familiar with its diagnosis and management. While POP is part of the core urology training curriculum in some jurisdictions, it is not in Canada.1 This article reviews the diagnosis of POP, including pertinent symptoms to query in the history, important facets of a systematic pelvic examination, and the appropriate use of ancillary tests. Treatment options are also discussed, including conservative measures, pessaries, and various reconstructive and obliterative techniques.

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Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence

Abstract: In women without stress incontinence who are undergoing abdominal sacrocolpopexy for prolapse, Burch colposuspension significantly reduced postoperative symptoms of stress incontinence without increasing other lower urinary tract symptoms.

Cited by 468 publications

References 26 publications

Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction

Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction

Enhancing Participation of Older Women in Surgical Trials

Pelvic organ prolapse: A primer for urologists

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