Abstract
This study was performed to compare the efficacy of transobturator tape (TOT) and Burch colposuspension in the treatment of female stress urinary incontinence (SUI). This is a prospective randomized single blind study of 100 women diagnosed as with urodynamic SUI who were randomized either to TOT procedure (n = 49) or Burch procedure (n = 51). The outcome was evaluated at 1 and 2 years. The mean operation time and hospital stay were significantly shorter in the TOT group compared to Burch group (p < 0.001). Procedure-related complications and postoperative voiding problems including postoperative urinary retention, de novo voiding difficulties and de novo urge incontinence were similar in the two groups. Both the subjective and objective cure rates of SUI at 1 year were 85.7 and 87.5%, respectively, in the TOT group. This was similar to subjective and objective cure rates at one year of 84.3% (p = 0.8) and 80.3% (p = 0.4) in the Burch group, respectively. At the end of 2 years, 32 patients were available in the TOT group and 31 patients were available in the Burch group for analysis. Both the subjective and objective cure rates of SUI at 2 years were 87.5 and 87.5% in the TOT group which was similar to the 87% (p = 0.9) and 83.8% (p = 0.6) in the Burch group, respectively. TOT procedure results in similar cure rates of SUI at 1 and 2 years compared to Burch procedure. The TOT procedure has a shorter operative time and length of hospital stay.
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References
Abrams PH, Blaivas JG, Stanton SL, Anderson JT (1998) Standardization of terminology of lower urinary tract function. Neurol Urodyn 7:403–427
Dainer M, Hall CD, Choe J, Bhatia NN (1999) The Burch procedure: a comprehensive review. Obstet Gynecol Surv 54:49–60
Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313
Delmas V (2005) Anatomical risks of transobturator suburethral tape in the treatment of female stress urinary incontinence. Eur Urol 48:793–798
Achtari C, Mckenzie BJ, Hiscock R, Rosamilia A, Schierlitz L, Briggs CA, Dwyer PL (2006) Anatomical study of the obturator foramen and dorsal nevre of the clitoris and their relationship to minimally invasive slings. Int Urogynecol J 17:330–334
de Tayrac R, Deffieux X, Retsen A, Doumerc S, Jouffroy C, Fernandez H (2006) A transvaginal ultrasound study comparing transobturator tape and tension-free vaginal tape after surgical treatment of female stress urinary incontinence. Int Urogynecol J 17:466–471
Walters MD, Karram MM (1993) Clinical urogynecology. Mosby, USA
Moore RD, Gamble K, Miklos JR (2006) Tension-free vaginal tape sling for recurrent stress incontinence after transobturator tape sling failure. Int Urogynecol J Pelvic Floor Dysfunct (in press). DOI 10.1007/s00192-006-0149-z
Liapis A, Bakas P, Giner M, Creatsas G (2006) Tension-free vaginal tape versus tension free vaginal tape obturator in women with stress urinary incontinence. Gynecol Obstet Invest 62(3):160–164
Tamussino K, Bjelic-Radisic V (2006) Transobturator tapes: better than TVT? (article in German) Gynakol Geburtshilfliche Rundsch 46(3):79–82
El-Barky E, El-Shazly A, El-Wahab OA, Kehinde EO, Al-Hunayan A, Al-Awadi KA (2005) Tension free vaginal tape versus Burch colposuspension for treatment of female stress urinary incontinence. Int Urol Nephrol 37:277–281
Liapis A, Bakas P, Creatsas G (2002) Burch colposuspension and tension free vaginal tape in the management of stress urinary incontinence in women. Eur Urol 41(4):469–473
Culligan PJ, Goldberg RP, Sand PK (2003) A randomized controlled trial comparing a modified Burch procedure and a suburethral sling: long term follow-up. Int Urogynecol J 14:229–233
Polascik TJ, Moore RG, Rosenberg MT, Kavoussi LR (1995) Comparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence. Urology 45:647–652
Ustun Y, Engin-Ustun Y, Gungor M, Tezcan S (2005) Randomized comparison of Burch urethropexy procedures concomitant with gynecologic operations. Gynecol Obstet Invest 59:19–23
Weber AM, Walters MD (2000) Burch procedure compared with sling for stress urinary incontinence: a decision analysis. Obstet Gynecol 96:867–873
Naıdu A, Lım YN, Barry C, Goodwin S, Corstiaans A, Rane A (2005) Transobturator tape for stress incontinence: the North Queensland experience. Aust N Z J Obstet Gynaecol 45:446–449
Deval B, Ferchaux J, Berry R, Gambino S, Ciofu C, Rafii A, Haab F (2006) Objective and subjective cure rates after trans-obturator tape (Obtape) treatment of female urinary incontinence. Eur Urol 49:373–377
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Sivaslioglu, A.A., Caliskan, E., Dolen, I. et al. A randomized comparison of transobturator tape and Burch colposuspension in the treatment of female stress urinary incontinence. Int Urogynecol J 18, 1015–1019 (2007). https://doi.org/10.1007/s00192-006-0279-3
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DOI: https://doi.org/10.1007/s00192-006-0279-3