A Retrospective Review of Perioperative Complications in 360 Patients who had Burch Colposuspension

Abstract

This retrospective study reviews intraoperative and early complications of Burch colposuspension of 360 patients. Ten patients had massive haemorrhage and 8 of them had a blood transfusion. Three patients had a haematoma. Bladder injuries were noticed in 10 patients, 3 of whom were diagnosed postoperatively. One patient had unilateral ureteral kinking. Urinary retention occurred in 20 patients for more than 10 days and 2 required catheterization for 26 and 32 days respectively. Eighteen patients had a wound infection and 4 had a wound abscess. Twenty nine patients had a urinary infection. Urinary tract injury, haemorrhage and blood transfusion were significantly more common in women having secondary surgery than those having primary surgery. Deep venous thrombosis was diagnosed in 3 patients who had a Burch colposuspension with concomitant abdominal hysterectomy. Knowledge of possible risks and complications of Burch colposuspension may help plan a better preoperative work-up of patients and may minimize the intraoperative complications and increase surgical success and patient satisfaction.

Modified Wheelahan's Colposuspension in the Treatment of Genuine Stress Incontinence

“…The overall incidence of complications with the Burch procedure has been reported to be as high as 40%, 10 similar to that in our study. Fortunately, wound infection, ureteral injury, hemorrhage, vesicovaginal fistula, and venous thromboembolism reported in prior series, 25,26 were not seen in our series. Patients frequently complain of postoperative pain, which may be mild and transient or severe and persistent.…”

Simplified colposuspension: A 15‐year follow‐up

“…19 9 Demirci et al reported 3% transfusions and 1% haematomas. 21 In the present series, one patient required transfusion (0.3%), seven developed wound haematomas (two on anticoagulants) (1.9%) and one developed a vault haematoma (additional hysterectomy). The patient requiring transfusion had an inadvertent heparin overdose preoperation, abdominal hysterectomy and three previous continence procedures.…”

Long-Term Results of Burch Colposuspension

“…We retrospectively reviewed the hospital records of 360 Burch colposuspension procedures from 1994 to 1999 in two centers, and the intraoperative and early postoperative complications were published [2]. The same women were invited to the hospitals to assess late postoperative complications and outcome.…”

“…Group I included 65 women who had undergone operations from 1998 to 1999 (mean follow-up 1.5 years), and group II included 155 women who had undergone operations from 1994 to 1997 (mean follow-up 4.5 years). The study did not include intraoperative and early postoperative complications which have been published [2].…”