Document Detail

Modified Burch colposuspension for stress urinary incontinence in females.
MedLine Citation:
PMID:  8421796     Owner:  NLM     Status:  MEDLINE    
Modified Burch colposuspension was performed upon 186 women having clinically and urodynamically verified stress urinary incontinence (SUI). After two years, 91 percent of the patients were cured or markedly improved. The success rate was as much as 95 percent among the patients who underwent Burch colposuspension as a first operative treatment for incontinence. In the patients with recurrent SUI, the cure rate was 82 percent. Failures appeared mostly during the first six months. There were no significant differences in cure rates between the patients who underwent concomitant hysterectomy and those who did not. The comparison of two different suture materials, Dexon (polyglycolic acid) and Maxon (polyglyconate monofilament absorbable) did not produce any significant differences. Temporary urinary retention was the most common postoperative complaint. During the six to 12 postoperative months, 19 percent of the patients experienced urgency and 9 percent had mild voiding difficulties. After one year, 12 percent of the patients had rectocele or enterocele, or both, which were surgically corrected. We conclude that modified Burch colposuspension is a safe and effective primary surgical method for the treatment of stress urinary incontinence in women.
P Kiilholma; J Mäkinen; M B Chancellor; Y Pitkänen; T Hirvonen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  176     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-02-18     Completed Date:  1993-02-18     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  111-5     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, University Central Hospital, Turku, Finland.
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MeSH Terms
Middle Aged
Surgical Procedures, Operative / methods*
Treatment Outcome
Urinary Incontinence, Stress / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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