Permanent or absorbable sutures for Burch colposuspension?

Smits-Braat, M.; Vierhout, Mark E.

doi:10.1007/bf01892744

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…A review of 17 studies comparing absorbable with permanent suture showed no significant differences in success rates. 85 Further review of the literature shows that suture type varies with no clear consensus other than a preference toward nonabsorbable sutures. 86,87 The patient should be placed in the dorsal lithotomy position with legs in Allen stirrups.…”

Section: Retropubic Urethropexymentioning

confidence: 98%

Diagnosis and Surgical Treatment of Stress Urinary Incontinence

Garely

Noor

2014

Obstetrics &Amp; Gynecology

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Stress urinary incontinence (SUI) is a major problem affecting more than 20% of the nation's female population, with increasing prevalence as our population continues to age. Incontinence places a great burden on individuals, and the economic effect is large. Stress urinary incontinence occurs when there is involuntary leakage of urine during coughing, laughing, sneezing, or physical activity. It can be diagnosed during physical examination and by using low-cost office diagnostics. Although nonsurgical treatments provide some benefit, surgical interventions have demonstrated superiority with respect to subjective and objective cure and better long-term improvement. Corrective surgeries for SUI can be grouped into four categories: 1) slings (midurethral slings and slings placed at the ureterovesical junction), 2) retropubic urethropexy, 3) urethral bulking agents, and 4) artificial sphincters. The success and failure of each approach needs to be assessed in the context of individual patients and their circumstances. Slings and retropubic urethropexy are considered first-line surgical options. Since the advent of minimally invasive retropubic midurethral slings such as the tension-free vaginal tape, transobturator tension-free vaginal tape, and single-incision sling, retropubic urethropexy have fallen out of favor. Warnings about mesh use may contribute to a resurgence of retropubic urethropexy procedures such as the Burch procedure. A Burch procedure should still be considered for patients who have an aversion to mesh or if they are undergoing concurrent abdominal approach surgery. Urethral bulking agents are usually reserved for patients with a fixed, nonmobile urethra who cannot tolerate an operative experience or have failed previous antiincontinence procedures. Artificial sphincters should be considered an operation of last resort.

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Section: Retropubic Urethropexymentioning

confidence: 98%

Diagnosis and Surgical Treatment of Stress Urinary Incontinence

Garely

Noor

2014

Obstetrics &Amp; Gynecology

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“…In their review on this issue, Smits-Braat reported an equal cure rate of 87% whether absorbable or permanent sutures were preferred. 2 , 16 We used absorbable suture (1-0 polyglactin) in our cases. This was a necessity, because the Hem-o-Lok™ clips cannot grip nonabsorbable sutures like polypropylene due to its slippery property during retraction.…”

Section: Discussionmentioning

confidence: 99%

Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch

Karadağ

Demir

Sönmez

et al. 2022

JSLS

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Background and Objectives: The multiple endoclip retraction technique (MERT) was developed based on our experience with suturing renal parenchyma in laparoscopic partial nephrectomy. In this study we prospectively evaluated the one-year results of cases treated by transperitoneal laparoscopic Burch with the MERT. Methods: The patients were evaluated with stress test, one-hour pad test, and were requested to complete the International Continence Society Incontinence Questionnaire short form (ICIQ-SF) in the postoperative period. The follow-up periods were postoperative 3, 6, and 12 months. Results: The primary outcome of this study was surgical success, defined as being cured of stress urinary incontinence (SUI) (no symptoms), experiencing improved symptoms of SUI in ICIQ-SF and negative stress test, and less than 2g urine leakage in a one-hour pad test. No statistically significant difference was found in terms of age, number of children, and body mass index (BMI) in patients according to the results of the 12 month postoperative stress test. We found statistically significant improvements at all control months in terms of stress test and pad weight. ICIQ-SF results showed a significant decrease at three months in patients who recovered after the operation. This rate has not changed in following control months. However, there was no statistical change in ICIQ-SF values in patients who did not recover after the operation. Conclusion: MERT seems to be one of the safe and effective modifications in the management of SUI with good one year outcomes when performed by suitably trained experienced surgeons.

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“…There is no consensus in the current literature regarding the suture material to be used. In their review on the subject, Smits‐Braat reported equal cure rates of around 87% whether absorbable or permanent sutures were used . Traditionally, the proximal sutures are located 2 to 3 cm lateral to the bladder neck, the distal sutures are placed 2 to 3 cm lateral to the proximal third of the urethra (Figure ).…”

Section: Methodsmentioning

confidence: 99%

“…In their review on the subject, Smits-Braat reported equal cure rates of around 87% whether absorbable or permanent sutures were used. 35 Traditionally, the proximal sutures are located 2 to 3 cm lateral to the bladder neck, the distal sutures are placed 2 to 3 cm lateral to the proximal third of the urethra (Figure 7). They should apprehend the full-thickness of the vaginal wall, right under the mucosa.…”

Section: The Traditional Open Burch Colposuspension Proceduresmentioning

confidence: 99%

Burch colposuspension

Veit‐Rubin

Dubuisson

Ford

et al. 2019

Neurourology and Urodynamics

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AimsTo evaluate the historic and pathophysiologic issues which led to the development of Burch colposuspension, to describe anatomic and technical aspects of the operation and to provide an update on current evidence.MethodsWe have performed a focused literature review and have searched the current available literature about historic dimension, technical descriptions, and efficacy of Burch colposuspension.ResultsBurch colposuspension, performed either by an open or a laparoscopic approach, is an effective surgical treatment for stress urinary incontinence.ConclusionsIn current recommendations, Burch colposuspension remains an option for secondary treatment. Because midurethral slings have recently become under scrutiny, it may return as a first‐line treatment procedure. Both open and laparoscopic Burch colposuspension should therefore nowadays be provided in fellowship programs worldwide.

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Permanent or absorbable sutures for Burch colposuspension?

Cited by 10 publications

References 18 publications

Diagnosis and Surgical Treatment of Stress Urinary Incontinence

Diagnosis and Surgical Treatment of Stress Urinary Incontinence

Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch

Burch colposuspension

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