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Int J Urol. 2003 Mar;10(3):126-30; discussion 131.

Comparison of outcomes of three different surgical techniques performed for stress urinary incontinence.

Author information

1
Departments of Urology and Obstetrics and Gynecology, Cumhuriyet University, Sivas, Turkey. hkilic@cumhuriyet.edu.tr

Abstract

BACKGROUND:

The aim was to compare the efficacy of Burch colposuspension, transvaginal four-corner bladder neck suspension (FCBNS) and the vaginal wall sling (VWS) procedures in patients with stress urinary incontinence.

METHODS:

A retrospective analysis was performed on 88 patients who underwent Burch colposuspension (n = 20), FCBNS (n = 29) and VWS (n = 39) for stress urinary incontinence. Objective and subjective cure rates at 3 months and annually after the operation were the primary outcome measures.

RESULTS:

The patients were similar in age, parity, menopausal status, grade of cystocel and preoperative residual urine volumes. Fourteen out of 20 (70%) patients showed improvement in the group undergoing Burch colposuspension, 29 out of 39 (74.4%) patients showed improvement in the FCBNS group, and 28 out of 29 (96.6%) patients showed improvement in the VWS group. The mean length of follow up was 3.8 years (range 3-5).

CONCLUSION:

In this study, the VWS procedure had a higher long-term cure rate of stress urinary incontinence when compared with the Burch colposuspension and the FCBNS procedures.

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