Burch Colposuspension

Sohlberg, Ericka; Elliott, Christopher S.

doi:10.1016/j.ucl.2018.08.002

Cited by 28 publications

(30 citation statements)

References 43 publications

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“…Literature indicates that PVS, BC and MUSS have similar complication rates [29][30][31][32]. For instance, perioperative bleeding requiring blood transfusion is a serious problem associated with all of these procedures and may occur in up to 2% of the cases [29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, however, no patient had significant blood loss. Another feared complication of these three techniques is bowel, bladder or urethral injury which has been reported in up to 9% of the cases [29][30][31][32]. Higher rates were reported after RT procedures for bladder, vascular and bowel injuries [18].…”

Section: Discussionmentioning

confidence: 99%

“…Voiding dysfunction and urinary retention requiring urethral catheterization are two well-known complications reported after SUI surgery and have been shown to be associated with urinary bladder detrusor dysfunction and iatrogenic urethral obstruction [30][31][32][33]. The incidence of urinary retention after PVS, BC and MUSS has been reported to be 20%, 8%, and 3%, respectively [19,[31][32]. In our study, no patient had urinary retention and there was no significant difference between pre-and post-operative scores of the voiding subsection of ICIQ-FLUTS.…”

Section: Discussionmentioning

confidence: 99%

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Modified autologous transobturator tape surgery — evaluation of short term results

et al. 2020

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Objectives: The aim of this study is to evaluate the short-term outcomes of our modified autologous transobturator tape (aTOT) technique with rectus abdominis muscle fascial graft for the treatment of female stress urinary incontinence (SUI). Material and methods: The data of 22 patients who underwent modified aTOT were recorded. Perioperative data regarding operative time, complications and postoperative visual analogue scores were noted. Patients were assessed 18 months after surgery. The primary endpoints of this study were the improvements in the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) subscores, one-hour pad test and cough stress test rates as an objective cure as well as the improvements in the PGI-I and ICIQ-FLUTS quality of life scores as a subjective cure. Results: Mean age and the mean follow-up period were 51.7 ± 9.8 years and 20.1 ± 0.9 months, respectively. Urethral hypermobility and a positive cough stress test were detected in all the patients. Mean operative time was 43.8 ± 8.1 min. and the overall complication rate was 9%. Mean VAS scores at postoperative 24 hours were 2.6 ± 1.2. At the postoperative eighteenth month, no patient had a positive cough test and mean PGI-I score was 2 while two patients had moderate urinary incontinence according to the pad test. Pad test results, ICIQ subscores of voiding QoL, incontinence, incontinence QoL, total score and total QoL score at baseline and eighteen months after surgery were 76.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Modified autologous transobturator tape surgery — evaluation of short term results

et al. 2020

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“…The landscape of SUI surgery has changed dramatically over the past 60 years. Burch colposuspension was first described in 1961 34 and with slight modification, became the standard surgical procedure for SUI. Paravaginal fascia is suspended with sutures to Coopers ligament which supports the urethra and also corrects any cystocele.…”

Section: Stress Uimentioning

confidence: 99%

“…Paravaginal fascia is suspended with sutures to Coopers ligament which supports the urethra and also corrects any cystocele. 34 In 1995, mid-urethral slings (MUS) were introduced and the Tension-free Vaginal Tape (TVT®, Ethicon) soon followed in 1996. Following a publication by Ward and Hilton 35 comparing TVT with colposuspension, practice changed almost overnight.…”

Section: Stress Uimentioning

confidence: 99%

Management of urinary incontinence

Nightingale

2020

Post Reprod Health

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Urinary incontinence is a common problem affecting 25–45% women. Effective management can have a huge impact on a patient’s quality of life and many treatments are available. Management should be dictated by the degree of bother the symptoms are having, and vary depending on the type on incontinence. Conservative measures should always be initiated, including optimisation of body mass index and smoking cessation. Overactive bladder and urge urinary incontinence can be improved with bladder retraining and avoidance of bladder stimulants. Medical treatment then includes anticholinergic medications or Mirabegron. More invasive options include Botulinum Toxin A (Botox®) injections, sacral nerve stimulation or urological surgery. Stress urinary incontinence should be managed initially with pelvic floor exercises, and input from a specialist nurse or physiotherapist is beneficial. The surgical options for managing stress incontinence have changed considerably over the years, but include bladder neck injections, mid-urethral slings, colposuspension or autologous fascial slings. Mixed urinary incontinence is more challenging to manage, but all conservative measures should be started. Further treatment is directed towards the predominant symptom, but overactivity should be controlled before surgical measures for stress urinary incontinence are performed.

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