Complications and Success Rate in Women Undergoing Burch Colposuspension for Urinary Stress Incontinence
DOI:
https://doi.org/10.31580/pjmls.v4i4.2451Keywords:
Burch, Colposuspension, Open colposuspension, Retropubic bladder suspension, Urinary stress incontinenceAbstract
Our goal was to study the success rates and peri-operative and post operative complications of Burch colposuspension in women having urinary stress incontinence. The study was performed in the department of gynaecology and obstetrics, MTI Hayatabad Medical Complex, MTI Lady Reading Hospital and a private set in Peshawar. Peri and postoperative outcomes were reviewed in 54 patients who underwent Burch Colposuspension from 2012 to 2017. All operations were performed by a single experienced surgeon and patients were followed post procedure for 18-24 months. Prior to the procedure, urodynamic studies were performed on 34 patients, while others showed signs of pure stress incontinence, so they did not require urodynamic studies. Urodynamics of 28 women showed genuine stress incontinence while six showed mixed stress incontinence. 10 patients underwent additional procedures along with Burch Colposuspension, mostly posterior colporrhaphy in 6 patients. The complication rate was relatively low, with 14.8% of patients experiencing voiding difficulties and 11% experiencing Denovo detrusor instability. Burch Colposuspension is a safe surgical treatment for genuine stress incontinence.
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