Abstract
Introduction: Many surgical procedures have been proposed for treatment of stress urinary incontinence (SUI) but none of them has proved completely successful. The aim of this study is to compare the efficacy and safety of tension free vaginal tape (TVT) with Burch colposuspension in the treatment of SIU. Patients and Methods: Fifty female patients, presenting with SUI were randomly divided into two equal groups. SUI was confirmed using urodynamic study in all patients. Group 1 (n=25) patients underwent Burch colposuspension while Group 2 (n=25) underwent TVT. Patients with high grade cystocele, previous surgical failure for SUI, uninhibited detrusor contraction during bladder filling on urodynamic study and incompetent internal sphincters were excluded from this study. A patient was declared cured of SUI, if 3–6 months after surgery she had no SUI. The procedure was judged to be a failure if 3–6 months after surgery, patient had SUI. Results: In group 1 patients, 72% were completely cured, 16% improved and 12% showed no improvement. In group 2 patients, 72 were completely cured, 20% improved and only 8% showed no improvement. There was no difference between the two groups in terms of cure rates. Operative time for TVT was significantly less compared to Burch. Postoperative pain was less in TVT than Burch. Return to normal activity was earlier in TVT compared to Burch group. Intra operative perforation of the urinary bladder occurred in 8% of patients in group 2. Urine retention occurred in 12% of patients in group 1 compared to 20% in group 2. This was successfully managed conservatively. De novo urgency developed in 12% in group I and 8% in group II and was successfully managed by medical treatment. Conclusion: The success rates of TVT and Burch colposuspension in the treatment of SUI in our experience are very similar. However, TVT is associated with less morbidity. We recommend TVT procedure for females with genuine SUI.
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References
PH Abrams JG Blaivas SL Stanton JT. Anderson (1998) ArticleTitleStandardization of terminology of lower urinary tract function Neurol Urodyn 7 403–427
KJ Burgio KA Mathews BT. Engel (1991) ArticleTitlePrevalence, incidence and correlates of urinary incontinence in healthy, middle aged women J Urol 146 1225–1231
GW Lam A Foldspang LB El Ving J. Mommsen (1992) ArticleTitleSocial context of female urinary incontinence Dan Med Bull 39 565–570 Occurrence Handle1468266
J Druin J Tessier PE Bertrand E. Schick (1999) ArticleTitleBurch colposuspension: long term results and review of published report Urology 54 808–814 Occurrence Handle10.1016/S0090-4295(99)00235-6 Occurrence Handle10565738
M Alcalay A Monga SL. Stanton (1995) ArticleTitleBurch colposuspension a 10–20 years follow up Br J Obstet Gynecol 102 740–745
U Ulmsten P Johnson M. Rezapour (1999) ArticleTitleA 3 years follow up of tension-free vaginal tape for surgical treatment of female stress urinary incontinence Br J Obstet Gynecol 106 345–350
A Atan M. Basar (2000) ArticleTitleA multicenter study of tension-free vaginal tape for surgical treatment of stress urinary incontinence Int Urogynecol J Pelvic Floor Dysfunc 11 130–132 Occurrence Handle10.1007/s001920050084
A Liapis P Bakas G. Creatsas (2002) ArticleTitleBurch colposuspension and tension-free vaginal tape in management of stress urinary incontinence Eur Urol 41 469–473 Occurrence Handle10.1016/S0302-2838(02)00033-7 Occurrence Handle12074820
K Ward P. Hilton (2002) ArticleTitleProspective multicentre randomized trial of tension free vaginal tape and colposuspension as primary treatment of stress incontinence BMJ 325 67–78 Occurrence Handle12114234
TJ Polascik RG Moore MT Rosenberg LR. Kavoussi (1995) ArticleTitleComparison of laparoscopic and open retropubic urethropexy for treatment of stress urinary incontinence Urology 45 647–652 Occurrence Handle10.1016/S0090-4295(99)80057-0 Occurrence Handle7716846
S Das JK. Palmer (1995) ArticleTitleLaparoscopic colpo-suspension J Urol 154 1119–1121 Occurrence Handle10.1097/00005392-199509000-00060 Occurrence Handle7637058
C Klutke S Siegel B Carlin E Paszkiewicz A Kirkemo J. Kluthe (2001) ArticleTitleUrinary retention after tension-free vaginal tape procedure: Incidence and treatment Urology 58 697–701 Occurrence Handle10.1016/S0090-4295(01)01366-8 Occurrence Handle11711343
BC Ericksen B Hagen SH Eik-Nes K Molne OK Mjolnerod I. Romslo (1995) ArticleTitleLong-term effectiveness of the Burch colposuspension in female urinary incontinence Acta Obstet Gynecol Scand 69 45–50
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El-Barky, E., El-Shazly, A., El-Wahab, O.A. et al. Tension Free Vaginal Tape Versus Burch Colposuspension for Treatment of Female Stress Urinary Incontinence. Int Urol Nephrol 37, 277–281 (2005). https://doi.org/10.1007/s11255-004-6101-6
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DOI: https://doi.org/10.1007/s11255-004-6101-6