Rardin CR, Sung VW, Hampton BS, Clemons JL, Aguilar V, Sokol ER. Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence.
Am J Obstet Gynecol 2007;
197:656.e1-5. [PMID:
18060969 DOI:
10.1016/j.ajog.2007.08.060]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2007] [Revised: 05/15/2007] [Accepted: 08/27/2007] [Indexed: 11/30/2022]
Abstract
OBJECTIVE
The objective of the study was to describe long-term objective and subjective success rates and complications following transvaginal Burch urethropexy for stress urinary incontinence.
STUDY DESIGN
A case series of 66 women who underwent vaginal Burch urethropexy for urodynamic stress urinary incontinence with urethral hypermobility using a suture carrier device is presented. Concurrent prolapse repairs were performed as indicated.
RESULTS
Sixty-six women (mean age 49.4 +/- 12.1 years) underwent vaginal Burch urethropexy. Mean follow-up time was 20.9 +/- 18.9 months. Objective failure was observed in 16 patients (24.2%). Subjective failure was reported by 21.2% of patients, with 50% and 28.8% reporting success and improvement, respectively. Six patients (9%) experienced febrile illness, 4 (6%) experienced intraoperative hemorrhage, 1 (1.5%) received transfusion, and 1 (1.5%) experienced pelvic abscess. Twelve patients (18.2%) experienced suture erosion; half required surgical revision or excision.
CONCLUSION
Vaginal Burch urethropexy is generally well tolerated but is associated with poor long-term success and high suture erosion rates.
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