Format

Send to

Choose Destination
See comment in PubMed Commons below
Br J Obstet Gynaecol. 1995 Sep;102(9):740-5.

Burch colposuspension: a 10-20 year follow up.

Author information

1
Department of Obstetrics and Gynaecology, St. George's Hospital, London, UK.

Erratum in

  • Br J Obstet Gynaecol 1996 Mar;103(3):290.

Abstract

OBJECTIVE:

To review the outcome of women who underwent Burch colposuspension 10 to 20 years ago and to assess factors which affect long term success.

DESIGN:

Longitudinal retrospective study.

SETTING:

Urogynaecology Unit, St George's Hospital, London.

SUBJECTS:

One hundred and nine women with genuine stress incontinence.

MAIN OUTCOME MEASURES:

Survival analysis of subjective and objective cure of stress incontinence.

RESULTS:

Cure of incontinence following Burch colposuspension is time-dependent, with a decline for 10 to 12 years when a plateau of 69% is reached. Factors adversely affecting cure are previous bladder neck surgery (logrank test P = 0.02), pre-operative weight greater than 80 kg, intra-operative blood loss more than 1000 ml and the development of post-operative detrusor instability. Post-operative complications included de novo detrusor instability (14.7%), long term complaints of voiding difficulty with objective recovery at the final follow up (22%) and recurrent urinary tract infection (4.6%).

CONCLUSIONS:

Long term follow up after colposuspension is necessary to assess sequelae. We suggest that new continence procedures should be followed up for 5 to 10 years.

PMID:
7547767
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center