Outcomes of stress urinary incontinence in women undergoing TOT versus Burch colposuspension with abdominal sacrocolpopexy

Lazarou, George; Minis, Evelyn; Grigorescu, Bogdan

doi:10.1007/s00192-018-3668-5

Cited by 9 publications

(8 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Midurethral slings may exhibit a much higher risk of intraoperative complications, such as bladder perforation and urinary retention, than the Burch procedure. 23,24 On the other side, the MUS placement was associated with shorter operating time, length of hospitalization, and time for resuming normal activity. [19][20][21][22] However, even if the length of hospital stay may be longer for Burch colposuspension, with this technique, there is no possibility of mesh extrusion as a complication.…”

Section: Burch's Variations and Outcomesmentioning

confidence: 99%

“…In addition, in a survey among professionals, Burch colposuspension would have been chosen only by a minority of surgeons. [23][24][25] In general, bladder injury, voiding dysfunction, and hematoma can be reported equally with Burch colposuspension or midurethral tapes. Midurethral slings may exhibit a much higher risk of intraoperative complications, such as bladder perforation and urinary retention, than the Burch procedure.…”

Section: Burch's Variations and Outcomesmentioning

confidence: 99%

“…[19][20][21][22] However, even if the length of hospital stay may be longer for Burch colposuspension, with this technique, there is no possibility of mesh extrusion as a complication. 23,24 Basically, data on long-term effectiveness and adverse events are, however, limited, especially around the comparative adverse events profiles of MUS and non-MUS procedures. A better understanding of complications after surgery for SUI is imperative.…”

Section: Burch's Variations and Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Burch Procedure: A Historical Perspective

Marquini

Bella

Sartori

2022

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

Introduction The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001. Objective This historical perspective of the Burch's timeline can encourage urogynecological surgeons to master the Burch technique as one of the options for surgical treatment of SUI. Search Strategy and Selection Criteria A bibliographic search was performed in the PubMed and National Library of Medicine (NIH) databases with the terms Burch colposuspension AND history AND stress urinary incontinence in the last 20 years. The original article by Burch (1961) was included. The references were read by three authors. The exclusion criterion was studies in non-English languages. Biomedical Library Special Collections were included as historical relevant search. Data Collection, Analysis and Main Results Some modifications of the technique have been made since the Burch procedure was first described. The interest in this technique has been increasing due to the negative publicity associated with vaginal synthetic mesh products. Twenty-nine relevant articles were included in the present review article, and numerous trials have compared Burch colposuspension with MUS. Conclusion This historical perspective enables the scientific community to review a standardized technique for SUI. Burch colposuspension should be considered an appropriate surgical treatment for women with SUI, and an option in urogynecological training programs worldwide.

show abstract

Section: Burch's Variations and Outcomesmentioning

confidence: 99%

Section: Burch's Variations and Outcomesmentioning

confidence: 99%

Section: Burch's Variations and Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Burch Procedure: A Historical Perspective

Marquini

Bella

Sartori

2022

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

show abstract

“…Noninvasive solutions such as behavioral treatments, pelvic floor muscle exercise, and functional electrostimulation of the pelvic floor (FES) are recommended as first‐line management strategies for UI in women [2]. Surgical procedures that are usually aimed to support the urethra or increase bladder capacity are usually implemented to cure UI but are associated with risks and adverse events [4,5].…”

Section: Introductionmentioning

confidence: 99%

Pixel CO₂ Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study

et al. 2020

View full text Add to dashboard Cite

Background and Objectives Energy‐based treatments have been found to be a promising treatment modality for improving stress urinary incontinence (SUI) symptoms. This prospective two‐center study was designed to evaluate the efficacy of fractional‐pixel CO2 laser for the treatment of SUI. Study Design/Materials and Methods Eighty‐five women with SUI symptoms as per the cough stress test and validated International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form (ICIQ‐UI‐SF), were treated intravaginally with Pixel‐CO2 laser. Two treatment sessions were performed with a 1‐month interval. Safety and treatment tolerance were assessed by the visual analog scale (VAS) immediately and at 1 week after each laser treatment. Associations of age and body mass index (BMI) with the ICIQ‐UI‐SF score were statistically assessed by the Jonckheere–Terpstra test. Results The ICIQ‐UI‐SF score was 12.0 at baseline, 7.0, after the first treatment, and 3.5 after the second treatment (P = 0.001). For women with BMI (25.0–29.9), the ICIQ‐UI‐SF score was 9.0 at the baseline, 6.0 after 1 month, and 5.0 at the 6 months follow‐up visit (P = 0.04). For women with BMI ≥ 30.0, the ICIQ‐UI‐SF score was reduced from 14.0 to 8.0 1 month after the baseline and 5.0 at the 6‐month follow‐up visit (P = 0.001). SUI severity evaluation at baseline showed that 27.1% of women had mild, 24.7% had moderate, 45.9% had severe, and 2.4% had very severe SUI symptoms. SUI severity scores were significantly reduced, with 45.8% of women with no SUI symptoms, 18.8% with mild, 20.8% with moderate, and 14.6% with severe SUI symptoms at the 6‐month follow‐up. The patient's evaluation of VAS after the first treatment was 1.0–1.5 (0–10) and 0.0 1 week after the second treatment. Conclusion Fractional‐pixel CO2 laser is safe and effective for treating SUI. No adverse event or significant pain was reported during or after the procedure. Its safety and efficacy are clearly demonstrated. Lasers Surg. Med. © 2020 Wiley Periodicals LLC

show abstract

“…In the female population, conventional treatments of SUI include noninvasive (pelvic floor muscle training), minimally invasive (bulking methods), less invasive (tape and mesh), and invasive surgical procedures. Less invasive operative techniques are related to >15% of complications (bleeding, erosions, urethral injury, infection, chronic pain, and urinary retention) [1], whereas the conventional surgery relates to anesthesia risks and high recurrence rates (25%) [2].…”

Section: Introductionmentioning

confidence: 99%

Laser Therapy in the Treatment of Female Urinary Incontinence and Genitourinary Syndrome of Menopause: An Update

Franić

Fistonić

2019

BioMed Research International

View full text Add to dashboard Cite

Vaginal birth trauma is the leading cause of stress urinary incontinence (SUI) in women. Also, the process of ageing and hormonal deprivation in postmenopause alters the metabolism of connective tissues and decreases collagen production leading to pelvic floor dysfunction. Noninvasive treatment is recommended as first-line management of urinary incontinence (UI) in women. Surgical procedures are more likely to be implemented to cure UI but are associated with more adverse events. Sex hormone deficiency affects changes also in the lower urinary tract where estrogens are the main regulators of physiological functions of the vagina. In the last decade, laser treatment of SUI and of the genitourinary syndrome of menopause (GSM) has been shown a promising treatment method in peer-reviewed literature. This review’s aim is to present the evidence-based medical data and laser treatment of SUI and GSM in an outpatient setting to be a good treatment option, regarding short-term as well as long-term follow-ups. Long-term follow-up studies are needed to confirm that laser treatment is a good, painless outpatient procedure with no side effects in postmenopausal women.

show abstract

Outcomes of stress urinary incontinence in women undergoing TOT versus Burch colposuspension with abdominal sacrocolpopexy

Abstract: The TOT group experienced a greater reduction in postoperative incontinence, and the Burch group underwent more repeat surgeries. The TOT sling may be superior in patients undergoing concomitant ASC.

Cited by 9 publications

References 32 publications

Burch Procedure: A Historical Perspective

Burch Procedure: A Historical Perspective

Pixel CO₂ Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study

Laser Therapy in the Treatment of Female Urinary Incontinence and Genitourinary Syndrome of Menopause: An Update

Contact Info

Product

Resources

About

Outcomes of stress urinary incontinence in women undergoing TOT versus Burch colposuspension with abdominal sacrocolpopexy

Abstract: The TOT group experienced a greater reduction in postoperative incontinence, and the Burch group underwent more repeat surgeries. The TOT sling may be superior in patients undergoing concomitant ASC.

Cited by 9 publications

References 32 publications

Burch Procedure: A Historical Perspective

Burch Procedure: A Historical Perspective

Pixel CO2 Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study

Laser Therapy in the Treatment of Female Urinary Incontinence and Genitourinary Syndrome of Menopause: An Update

Contact Info

Product

Resources

About

Pixel CO₂ Laser for the Treatment of Stress Urinary Incontinence: A Prospective Observational Multicenter Study