Burch colposuspension versus modified Marshall-Marchetti-Krantz urethropexy for primary genuine stress urinary incontinence: A prospective, randomized clinical trial

Colombo, M.; Scalambrino, S.; Maggioni, Angelo; Milani, Rodolfo

doi:10.1016/0002-9378(94)90404-9

Cited by 74 publications

(23 citation statements)

References 13 publications

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“…This is consistent with the findings in the review by Jarvis (mean 9.6%; range 4—18%) 2 . In another study we found a 5% incidence of de novo detrusor instability among 40 patients with pre‐operative stable bladders who received the Burch colposuspension 3 .…”

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Colombo

1996

BJOG

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confidence: 91%

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Colombo

1996

BJOG

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“…In a randomised trial colposuspension has a lower morbidity than the Marshall -Marchetti -Krantz procedure 10 , again suggesting that subtle differences in technique of retropubic suspensions could be important. Tanagho 11 has suggested that post-operative morbidity could be minimised by placing the sutures without tension, as far laterally as possible and away from the bladder neck, thus leaving enough space to accommodate two fingers between the urethra and pubic bone after tying the sutures.…”

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Why do women have voiding dysfunction and de novo detrusor instability after colposuspension?

Bombieri

2002

BJOG: An International Journal of Obstetrics and Gynaecology

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Objective To investigate the causes of voiding dysfunction and new detrusor instability after colposuspension.Design Prospective, observational study.Setting Urogynaecology unit, district general hospital.Population Seventy-seven women undergoing colposuspension for genuine stress incontinence. MethodsThe following factors were investigated: 1. bladder neck elevation by magnetic resonance imaging before and after surgery; 2. urethral compression by measuring bladder neck approximation to the pubis with magnetic resonance imaging after surgery (anterior compression) and the distance between the medial stitches during surgery (lateral compression); 3. clinical and urodynamic factors. Main outcome measures 1. Post-operative voiding function (i.e. first day of voiding and day of catheter removal); 2. objective evidence of detrusor instability three months post-operatively. Results Pre-operative peak flow rate ( P ¼ 0.004), straining during voiding ( P ¼ 0.005), increasing age ( P < 0.001), operative elevation ( P < 0.001) and anterior urethral compression ( P ¼ 0.001) were associated with the number of days of post-operative catheterisation. Increasing age ( P ¼ 0.02), previous bladder neck surgery ( P ¼ 0.04), operative elevation ( P ¼ 0.049) and anterior urethral compression ( P < 0.001) were associated with detrusor instability at three months. Conclusion Surgical factors (bladder neck elevation and compression) are associated with voiding dysfunction and detrusor instability after colposuspension. These findings have implications for prevention.

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“…Unfortunately, all these methods have often been unsuccessful, and because of that they have been continually subject to modification research [8,9] . One of the newest procedures is the sling surgery using the tension-free vaginal tape (TVT).…”

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Quality of Life in Women with Urinary Stress Incontinence and Evaluation of Tension-Free Vaginal Tape Treatment

Pozowski¹,

Sobański²,

Dudkiewicz³

et al. 2006

Gynecol Obstet Invest

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Objectives: Assessment of quality of life in women stress urinary incontinence (USI) and evaluation of tension-free vaginal tape (TVT) treatment. Material and Methods: The research included a group of 112 women aged 33–78 years. Before as well as 3 and 6 months after the TVT operation, patients were asked to fill in quality of life questionnaires. Results: After 3 months 87.25% of the women reported full regression of USI symptoms, 7.8% an insignificant improvement, and 4.9% did not observe any change. After 6 months 85.71% reported full regression, 9.18% an insignificant improvement, and 5.1% did not observe any change. USI is responsible for a decrease in physical activity. The most uncomfortable symptom is involuntary urine leakage occuring mainly during an effort or sleep. After the TVT procedure, the majority of women confirmed a significant improvement in quality of life. Conclusions: The TVT procedure is an effective method of treating USI in women: it significantly improves quality of life, with a recovery rate of 85–87%, and a low rate of complications.

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Burch colposuspension versus modified Marshall-Marchetti-Krantz urethropexy for primary genuine stress urinary incontinence: A prospective, randomized clinical trial

Cited by 74 publications

References 13 publications

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Why do women have voiding dysfunction and de novo detrusor instability after colposuspension?

Quality of Life in Women with Urinary Stress Incontinence and Evaluation of Tension-Free Vaginal Tape Treatment

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