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Stress urinary incontinence: a comparison of outcomes between open Burch colposuspension and transvaginal tape surgical procedures
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Keramat Dehghani   1, Farideh Foroughian2 , Mohammad Dilmaghani Zadeh3 |
1- Urologist, Amiralmomenin Hospital, Department of Urology, Islamic Azad University, Tehran Medical Sciences Branch, Tehran, Iran , (email: keramatdehghani@yahoo.com
2- Gynecologist, Gynecology Ward, Laleh Hospital, Tehran, Iran
3- Medical Sciences Research Center, Islamic Azad University, Tehran Medical Sciences Branch, Tehran, Iran |
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Abstract: (6610 Views) |
Background: Various surgical procedures have been developed to repair stress urinary incontinence in women. This study aims to compare the efficacy of two common methods open Burch colposuspension and transvaginal tape.
Materials and methods: In this experimental study, 283 married women with stress urinary incontinence was undergone either open Burch colposuspension (157 patients) or transvaginal tape (126 patients) surgical procedures between 1993 and 2011. Outcomes of surgical procedures were evaluated 6 and 12 months after surgery. A concurrent cystocele existed in 262 women that were repaired simultaneously during Burch colposuspension (157 patients) or transvaginal tape (105 patients) procedures.
Results: The success rates in Burch group were higher than transvaginal tape group at the 6th month (99.4% vs. 94.4%) and the 12th month (97.5% vs. 50%) (p<0.05). Repair of concurrent cystocele was successful in all patients of the Burch group and 93.3% of patients of the transvaginal tape group.
Conclusion: We recommend open Burch colposuspension to repair stress urinary incontinence in women, with the advantage of simultaneous repair of severe concurrent cystoceles. |
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| Keywords: Stress urinary incontinence, Burch colposuspension, Transvaginal tape, Cystocele |
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Full-Text [PDF 129 kb]
(2279 Downloads)
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Semi-pilot: Experimental |
Subject:
Urology
Received: 2014/06/21 | Accepted: 2014/06/21 | Published: 2014/06/21
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