Are There any Predictors for Failed Burch Colposuspension?

Sun, Mou-Jong; Ng, Soo‐Cheen; Tsui, Kwong-Pang; Chang, Ning-en; Lin, Kuo‐Cherng; Chen, Gin‐Den

doi:10.1016/s1028-4559(09)60187-x

Cited by 6 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, to the best of our knowledge, the effect of menopausal status on the success of TOT operations has not been investigated properly. On the other hand, the effect of menopause on the success and failure rate of the Burch operation was described previously by Sun et al They studied the Burch operation in 258 patients and noted that age, parity, menopausal status, and use of hormone replacement therapy had no effect on the failure rate [12]. Like the report previously noted, Akpinar et al also reported that menopause had no effect on the long-term outcome of the Burch operation [13].…”

Section: Discussionmentioning

confidence: 99%

Transobturator Tape Operation Is More Effective in Premenopausal Women than in Postmenopausal Women with Stress Incontinence

et al. 2011

View full text Add to dashboard Cite

PurposeMidurethral synthetic slings for female stress urinary incontinence are minimally invasive polypropylene mesh tapes that are inserted under the midurethra with trocars. In the past decade, this new technology has become the most commonly performed procedure for female stress urinary incontinence, replacing the traditional open procedures. However, its effectiveness in pre- and postmenopausal women has not previously been compared.Materials and MethodsWe assessed the clinical outcome of the transobturator tape (TOT) procedure in premenopausal (n=45) and postmenopausal (n=49) women by means of self-report and the Urinary Distress Inventory 6 (UDI-6) questionnaire.ResultsThe mean age of the pre- and postmenopausal women was 44 and 60 years, respectively. Mean parity was 2.4 and 3, respectively. There were no significant differences with respect to mean operation time, duration of hospitalization, or intraoperative and postoperative complications. However, premenopausal women were more satisfied with the operation than were postmenopausal women (p=0.014). Also, UDI-6 scores were significantly better in premenopausal women (p=0.027).ConclusionsThe TOT operation appeared to be more effective in premenopausal women with stress urinary incontinence. However, further studies with larger sample sizes are needed to confirm our results.

show abstract

Section: Discussionmentioning

confidence: 99%