A 5‐year follow‐up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence. Issue 1 (14th December 2013)

• Record Type: Journal Article
• Authors: Asıcıoglu, Osman; Gungorduk, Kemal; Besımoglu, Berhan; Ertas, Ibrahim E.; Yıldırım, Gokhan; Celebı, Ibrahim; Ark, Cemal; Boran, Birtan
• Is Part Of: International journal of gynaecology and obstetrics. Volume 125:Issue 1(2014)
• Page Start: 73
• Page End: 77
• Publication Date: 2013-12-14
• Subjects: Burch colposuspension -- Follow‐up -- Stress urinary incontinence -- Transobturator tape; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1016/j.ijgo.2013.09.026
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To compare the effectiveness of transobturator tape (TOT) and Burch colposuspension in the treatment of stress urinary incontinence (SUI). Methods: The present retrospective study included 770 patients who underwent SUI surgery with Burch colposuspension (n = 498) or TOT (n = 272). Clinical follow‐up occurred at 2 weeks, 3, 6, and 12 months, and annually thereafter. Objective and subjective cure rates and intra‐ and postoperative complications were assessed. Results: Among patients who had SUI surgery without another concomitant procedure, the Burch group had a significantly longer mean operation time (41.48 ± 10.61 minutes versus 23.77 ± 10.49 minutes; P < 0.001) and a significantly longer length of hospital stay (3.11 ± 0.49 days versus 1.98 ± 0.40 days; P < 0.001), compared with the TOT group. The rates of unintended functional outcomes were lower among women undergoing TOT than among those undergoing the Burch procedure (long‐term voiding dysfunction 0.7% versus 4.2%, P = 0.007; urinary retention 10.7% versus 26.9%, P < 0.001). The 5‐year cure rates were similar in the 2 groups (objective cure rate, 73.9% versus 77.5%, P = 0.574; subjective cure rate, 76.8% versus 81.7%, P = 0.416). Conclusion: In terms of efficacy, TOT appears equal to Burch colposuspension; however, TOT has fewer unintended functional outcomes than Burch colposuspension.