Laparoscopic colposuspension: a systematic review

Moehrer, B

doi:10.1016/s1470-0328(02)02050-5

Cited by 14 publications

(17 citation statements)

References 8 publications

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“…Follow-up data for the commonly used form of laparoscopic colposuspension, modelled along the lines of open Burch colposuspension, are more readily available. A recently published review indicates that there are no major differences in outcome between open and laparoscopic Burch colposuspension [9]. In this case-control series the authors aimed to compare a standard laparoscopic Burch colposuspension (LC) technique [10] with urethropexy ± paravaginal repair (UP) in a case-control series.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic colposuspension versus urethropexy: a case-control series

Dietz

Wilson

2004

Int Urogynecol J

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Laparoscopic colposuspension (LC) was first described in the early 1990s as a technique distinct from open Burch colposuspension. Subsequently, however, LC was closely modelled along the lines of the Burch technique, and the distinct features of the original urethropexy (UP) were largely disregarded. In this case-control series the authors aimed to compare symptoms and anatomical outcomes after standard LC and urethropexy +/- paravaginal repair. The design was a clinical retrospective case-control trial. The setting was the urogynaecology and endogynaecology services of tertiary hospitals. Fifty patients after LC and 50 women after UP surgery, matched for age, body mass index, previous surgery, pre-existing urge incontinence and length of follow-up (1.01 year, range 0.02-3.54 years) for LC and 0.98 years (range 0.06-3.55 years) for UP). Intervention consisted of standardised interview and translabial ultrasound imaging. There were no significant differences for subjective cure of stress incontinence (80% for UP vs. 74% for LC), postoperative urge incontinence, frequency and nocturia. Significantly more UP patients complained of voiding dysfunction (p=0.01). Significant differences were found for urethral rotation, position of the bladder neck on Valsalva and bladder neck descent on Valsalva (all p<0.001). Both procedures were shown to be effective in curing stress incontinence. The incidence of bladder symptoms was comparable, with the exception of voiding difficulty. Significant differences were observed regarding anatomical appearances, with urethropexies showing more recurrent bladder neck hypermobility and cystocele.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic colposuspension versus urethropexy: a case-control series

Dietz

Wilson

2004

Int Urogynecol J

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“…Till now, the Burch colposuspension has been considered as the gold standard surgical procedure to correct genuine stress incontinence by stabilizing the bladder neck and the proximal urethra behind the symphysis pubis [3].…”

Section: Discussionmentioning

confidence: 99%

Cystoscopic-Guided Colposuspension, Does it add?

Moharram¹,

Sherif

Magdi

2014

Evidence Based Womenʼs Health Journal

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ObjectiveThe Burch procedure remains an effective and durable procedure; however, it can be associated with many complications, the most important of which is voiding difficulties. To avoid overcorrection or undercorrection, placement of the sutures can be guided by a cystoscope to ensure equal placement and tension on both sides of the bladder neck. Patients and methodsIn all, 130 female patients with genuine urinary stress incontinence proved by urodynamic studies were enrolled in the study. They were operated upon by a Burch colposuspension guided by cystoscopic vision to the bladder neck during placement and tension of the sutures on both sides of the bladder neck. Results All patients were followed up for 6 months postoperatively: 122 of them for 12 months and the remaining eight for 24 months. All cases showed a negative stress test, and none of them suffered from urinary retention. Thirty-five cases (26.9%) who suffered urinary tract infection were treated medically; 11 cases (8.4%) reported urgency and were treated medically. ConclusionCystoscopy during Burch colposuspension could be helpful to guide the placement and adjustment of sutures. This additive simple procedure definitely improved the results of the procedure and decreased complications, especially urine retention and voiding difficulties.

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“…In einer Cochrane-Analyse wurden vier Studien bewertet [21]. Die subjektive Heilungsrate war in beiden Gruppen gleich (85-96% nach Laparoskopie, 85-100% nach offenem Vorgehen) bei einer Nachbeobachtungszeit von sechs bis 18 Monaten.…”

Section: Operationstechnikunclassified