International Urogynecology Journal

, Volume 19, Issue 5, pp 681–685

Laparoscopic Burch colposuspension after failed sub-urethral tape procedures: a retrospective audit

Authors

    • Department of UrogynaecologyGold Coast Hospital
  • Rozihan Ismail
    • Hospital Kuala Terengganu
  • Christopher F. Maher
    • Department of UrogynaecologyMater, Royals and Wesley Hospital
Original Article

DOI: 10.1007/s00192-007-0506-6

Cite this article as:
De Cuyper, E.M., Ismail, R. & Maher, C.F. Int Urogynecol J (2008) 19: 681. doi:10.1007/s00192-007-0506-6

Abstract

Our objective was to evaluate the outcome of laparoscopic Burch colposuspension in women with recurrent stress urinary incontinence after failed primary sub-urethral tape procedures. A total of 16 patients were identified, and their data from symptom-specific questionnaires, urodynamic studies and urogynaecological assessment were collected. At a median follow-up of 24.5 months, objective and subjective cure rates were 54.5% and 92.9%, respectively. Average satisfaction score regarding outcome after surgery was 9.3 on a rating scale from 0 to 10. All but one patient had symptoms of urge incontinence pre-operatively with 64.3% experiencing cure or improvement post-operatively. Voiding difficulties were observed in one patient, and post-operative urodynamics revealed a significant decrease in urinary flow rate (p < 0.05) but with no difference in urinary residuals or maximum urethral closure pressure. Severe peri-urethral fibrosis was identified in 62.5% of the patients. Laparoscopic Burch colposuspension is an effective and safe surgical option.

Keywords

Laparoscopic Burch colposuspension Sub-urethral tape Recurrent stress urinary incontinence Re-operation

Copyright information

© International Urogynecology Journal 2007