Comparison of laparoscopic versus open Burch colposuspension techniques for female stress or mixed urinary incontinence: a ten-year experience in a tertiary center

Authors : Ömer ÜNAL, Ozan KARADENİZ

Pages : 189-195

View : 20 | Download : 26

Publication Date : 2023-06-28

Article Type : Research Paper

Abstract :Aims: To evaluate postoperative course, efficacy, and complication rates of Open Burch Colposuspension and Laparoscopic Burch Colposuspension techniques in stress or mixed urinary incontinence at a single training and research hospital for the last ten years in İstanbul, Turkey. Methods: A retrospective cohort study was conducted in all Burch Colposuspension cases performed between January 2011 and May 2022 in the Department of Gynecology and Obstetrics of İstanbul Kanuni Sultan Süleyman Training and Resaerch Hospital. All patients’ data were reviewed from the electronic medical records and analyzed who underwent Burch colposuspension surgery either with an open or laparoscopic approach. The primary outcome was a surgical success, whereas secondary outcomes were perioperative and postoperative data, including surgical type, operating time, duration of hospital stay, estimated blood loss, complications, subjective cure, and additional interventional procedure types. Results: The demographic and clinical characteristics among the groups have no significant difference insert ignore into journalissuearticles values(p >0.05);. The major complication rate postoperatively was considerably higher in the OC group insert ignore into journalissuearticles values(p<0.004);. There is a statistically significant difference in favor of LC in terms of pain score values insert ignore into journalissuearticles values(VAS); postoperatively at the 6th and 48th hours insert ignore into journalissuearticles values(6th hour, p=0.036, 48th hour, p<0.0001);. There was no statistically significant difference between study groups regarding objective success insert ignore into journalissuearticles values(%15,5 and %16,9, respectively);. Postoperatively, there was no statistically significant difference between groups regarding subjective cure rates insert ignore into journalissuearticles values(UDI-6 and IIQ-7);. Conclusions: Midurethral Sling procedures are the first-line treatment in SUI patients. However, their long-term effectiveness is similar to other SUI treatments and lower complication rates, so surgeons can prefer LC.
Keywords : burch kolposüspansiyon, laparoskopi, üriner inkontinans