Laparoscopic colposuspension for urinary incontinence in women

Abstract

Cochrane Database of Systematic Reviews Analysis 2.5. Comparison 2 Laparoscopic colposuspension versus midurethral sling procedures, Outcome

Surgical treatment of stress urinary incontinence: comparison of robotic-assisted Burch urethropexy with retropubic midurethral sling

“…Of particular interest is development of new UUI, as this can severely hamper a women’s perception of cure and may differ with different surgical techniques. Studies comparing laparoscopic Burch to RMUS have shown no difference in de novo detrusor overactivity and overall incontinence postoperatively [ 1 , 13 ] which is consistent with our results.…”

“…Although not a comparison between laparoscopic and robotic modalities, our study suggests that like the laparoscopic Burch procedure, RA-Burch may be an excellent alterative to the RMUS. Our findings that there were no differences in early postoperative complications between RA-Burch and RMUS, additional treatments for persistent SUI, or new UUI at longest follow-up echo those found in a Cochrane review between laparoscopic Burch and RMUS, though the review reports that this data was generated from low-quality evidence [1]. Of particular interest is development of new UUI, as this can severely hamper a women's perception of cure and may differ with different surgical techniques.…”

“…In this retrospective cohort of 235 patients undergoing RA-Burch and RMUS procedures, there was no difference in the subjective cure of SUI symptoms at longest follow-up between the two groups. There were similar rates of reoperation for SUI and new symptoms of UUI among the groups, which is similar to studies comparing RMUS to laparoscopic assisted Burch procedures [ 1 ]. This study suggests that RA-Burch and RMUS may be equally efficacious for patients with symptoms of SUI desiring surgical management, especially for those who prefer to avoid mesh placement or who have risk factors for complications.…”

Surgical treatment of stress urinary incontinence: comparison of robotic-assisted Burch urethropexy with retropubic midurethral sling

“…Of particular interest is development of new UUI, as this can severely hamper a women’s perception of cure and may differ with different surgical techniques. Studies comparing laparoscopic Burch to RMUS have shown no difference in de novo detrusor overactivity and overall incontinence postoperatively [ 1 , 13 ] which is consistent with our results.…”

“…Although not a comparison between laparoscopic and robotic modalities, our study suggests that like the laparoscopic Burch procedure, RA-Burch may be an excellent alterative to the RMUS. Our findings that there were no differences in early postoperative complications between RA-Burch and RMUS, additional treatments for persistent SUI, or new UUI at longest follow-up echo those found in a Cochrane review between laparoscopic Burch and RMUS, though the review reports that this data was generated from low-quality evidence [1]. Of particular interest is development of new UUI, as this can severely hamper a women's perception of cure and may differ with different surgical techniques.…”

“…In this retrospective cohort of 235 patients undergoing RA-Burch and RMUS procedures, there was no difference in the subjective cure of SUI symptoms at longest follow-up between the two groups. There were similar rates of reoperation for SUI and new symptoms of UUI among the groups, which is similar to studies comparing RMUS to laparoscopic assisted Burch procedures [ 1 ]. This study suggests that RA-Burch and RMUS may be equally efficacious for patients with symptoms of SUI desiring surgical management, especially for those who prefer to avoid mesh placement or who have risk factors for complications.…”

Current practice of colposuspension in the United Kingdom: Results of a national survey

“…7 Laparoscopic and robotic methods have introduced additional variability, and although short-term outcomes appear comparable, robust data beyond 5 years remain scarce. 5,9 In our survey, 40% of surgeons reported placing three bilateral sutures at the paravaginal fascia during open procedures, compared with 12% during laparoscopic or robotic colposuspension. Although not assessed in our questionnaire, surgeons likely vary on how they determine "adequate" bladder-neck elevation, introducing additional subjectivity.…”

“…Before the widespread adoption of mid‐urethral slings, open Burch colposuspension was fairly standardized 7 . Laparoscopic and robotic methods have introduced additional variability, and although short‐term outcomes appear comparable, robust data beyond 5 years remain scarce 5,9 . In our survey, 40% of surgeons reported placing three bilateral sutures at the paravaginal fascia during open procedures, compared with 12% during laparoscopic or robotic colposuspension.…”

Surgical treatment of stress urinary incontinence: comparison of robotic-assisted Burch urethropexy with retropubic midurethral sling

“…Of particular interest is development of new UUI, as this can severely hamper a women’s perception of cure and may differ with different surgical techniques. Studies comparing laparoscopic Burch to RMUS have shown no difference in de novo detrusor overactivity and overall incontinence postoperatively [ 1 , 13 ] which is consistent with our results.…”

“…Although not a comparison between laparoscopic and robotic modalities, our study suggests that like the laparoscopic Burch procedure, RA-Burch may be an excellent alterative to the RMUS. Our findings that there were no differences in early postoperative complications between RA-Burch and RMUS, additional treatments for persistent SUI, or new UUI at longest follow-up echo those found in a Cochrane review between laparoscopic Burch and RMUS, though the review reports that this data was generated from low-quality evidence [1]. Of particular interest is development of new UUI, as this can severely hamper a women's perception of cure and may differ with different surgical techniques.…”

“…In this retrospective cohort of 235 patients undergoing RA-Burch and RMUS procedures, there was no difference in the subjective cure of SUI symptoms at longest follow-up between the two groups. There were similar rates of reoperation for SUI and new symptoms of UUI among the groups, which is similar to studies comparing RMUS to laparoscopic assisted Burch procedures [ 1 ]. This study suggests that RA-Burch and RMUS may be equally efficacious for patients with symptoms of SUI desiring surgical management, especially for those who prefer to avoid mesh placement or who have risk factors for complications.…”

Current practice of colposuspension in the United Kingdom: Results of a national survey

“…7 Laparoscopic and robotic methods have introduced additional variability, and although short-term outcomes appear comparable, robust data beyond 5 years remain scarce. 5,9 In our survey, 40% of surgeons reported placing three bilateral sutures at the paravaginal fascia during open procedures, compared with 12% during laparoscopic or robotic colposuspension. Although not assessed in our questionnaire, surgeons likely vary on how they determine "adequate" bladder-neck elevation, introducing additional subjectivity.…”

“…Before the widespread adoption of mid‐urethral slings, open Burch colposuspension was fairly standardized 7 . Laparoscopic and robotic methods have introduced additional variability, and although short‐term outcomes appear comparable, robust data beyond 5 years remain scarce 5,9 . In our survey, 40% of surgeons reported placing three bilateral sutures at the paravaginal fascia during open procedures, compared with 12% during laparoscopic or robotic colposuspension.…”

Surgical treatment of stress urinary incontinence: comparison of robotic-assisted Burch urethropexy with retropubic midurethral sling

“…Of particular interest is development of new UUI, as this can severely hamper a women’s perception of cure and may differ with different surgical techniques. Studies comparing laparoscopic Burch to RMUS have shown no difference in de novo detrusor overactivity and overall incontinence postoperatively [ 1 , 13 ] which is consistent with our results.…”

“…Although not a comparison between laparoscopic and robotic modalities, our study suggests that like the laparoscopic Burch procedure, RA-Burch may be an excellent alterative to the RMUS. Our findings that there were no differences in early postoperative complications between RA-Burch and RMUS, additional treatments for persistent SUI, or new UUI at longest follow-up echo those found in a Cochrane review between laparoscopic Burch and RMUS, though the review reports that this data was generated from low-quality evidence [1]. Of particular interest is development of new UUI, as this can severely hamper a women's perception of cure and may differ with different surgical techniques.…”

“…In this retrospective cohort of 235 patients undergoing RA-Burch and RMUS procedures, there was no difference in the subjective cure of SUI symptoms at longest follow-up between the two groups. There were similar rates of reoperation for SUI and new symptoms of UUI among the groups, which is similar to studies comparing RMUS to laparoscopic assisted Burch procedures [ 1 ]. This study suggests that RA-Burch and RMUS may be equally efficacious for patients with symptoms of SUI desiring surgical management, especially for those who prefer to avoid mesh placement or who have risk factors for complications.…”

Current practice of colposuspension in the United Kingdom: Results of a national survey

“…7 Laparoscopic and robotic methods have introduced additional variability, and although short-term outcomes appear comparable, robust data beyond 5 years remain scarce. 5,9 In our survey, 40% of surgeons reported placing three bilateral sutures at the paravaginal fascia during open procedures, compared with 12% during laparoscopic or robotic colposuspension. Although not assessed in our questionnaire, surgeons likely vary on how they determine "adequate" bladder-neck elevation, introducing additional subjectivity.…”

“…Before the widespread adoption of mid‐urethral slings, open Burch colposuspension was fairly standardized 7 . Laparoscopic and robotic methods have introduced additional variability, and although short‐term outcomes appear comparable, robust data beyond 5 years remain scarce 5,9 . In our survey, 40% of surgeons reported placing three bilateral sutures at the paravaginal fascia during open procedures, compared with 12% during laparoscopic or robotic colposuspension.…”