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International Urogynecology Journal

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01-07-2009 | Original Article

Is Burch or mid-urethral sling better with abdominal sacral colpopexy?

Authors: Minita Patel, David O’Sullivan, Paul K. Tulikangas

Published in: International Urogynecology Journal | Issue 7/2009

Abstract

Introduction and hypothesis

This study aims to compare the post-operative rates of stress urinary incontinence (SUI) after abdominal sacral colpopexy (ASC) with either Burch or mid-urethral sling, tension-free vaginal tape (TVT), or no anti-incontinence procedure. The null hypothesis was there would be no difference in SUI among groups.

Methods

A cohort of women who had undergone ASC (n = 150) either alone or with an anti-continence procedure were analyzed to determine the rates of post-operative SUI. Statistically significant differences were evaluated with a Student’s t-test.

Results

A total of 150 subjects were evaluated, with 115 having SUI preoperatively. Post-operatively, 10% (15/150) of all subjects had SUI. Subjects with preoperative SUI who had a Burch were more likely to have post-operative SUI than those who had a TVT (10 versus 0, p = 0.007).

Conclusions

Burch and TVT procedures improve SUI symptoms in patients undergoing ASC. Mid-urethral slings performed with ASC have lower rates of post-operative SUI.

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de Tayrac R, Gervaise A, Chauveaud-Lambling A, Fernandez H (2004) Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case-control study with short-term follow-up. Acta Obstet Gynecol Scand 83:950–954PubMedCrossRef

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Title: Is Burch or mid-urethral sling better with abdominal sacral colpopexy?
Authors: Minita Patel
David O’Sullivan
Paul K. Tulikangas
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 7/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0861-6

At a glance: The STEP trials

Springer Medicine

Is Burch or mid-urethral sling better with abdominal sacral colpopexy?

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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