Cystoscopic-Guided Colposuspension, Does it add?

Abstract

ObjectiveThe Burch procedure remains an effective and durable procedure; however, it can be associated with many complications, the most important of which is voiding difficulties. To avoid overcorrection or undercorrection, placement of the sutures can be guided by a cystoscope to ensure equal placement and tension on both sides of the bladder neck. Patients and methodsIn all, 130 female patients with genuine urinary stress incontinence proved by urodynamic studies were enrolled in the study. They were operated upon by a Burch colposuspension guided by cystoscopic vision to the bladder neck during placement and tension of the sutures on both sides of the bladder neck. Results All patients were followed up for 6 months postoperatively: 122 of them for 12 months and the remaining eight for 24 months. All cases showed a negative stress test, and none of them suffered from urinary retention. Thirty-five cases (26.9%) who suffered urinary tract infection were treated medically; 11 cases (8.4%) reported urgency and were treated medically. ConclusionCystoscopy during Burch colposuspension could be helpful to guide the placement and adjustment of sutures. This additive simple procedure definitely improved the results of the procedure and decreased complications, especially urine retention and voiding difficulties.