title: The value of simultaneous hysterectomy during Burch colposuspension for urinary stress incontinence.
abstract: The effect of concomitant hysterectomy during colposuspension on the cure rate of genuine stress incontinence was evaluated prospectively in 45 patients. Twenty-two women underwent a colposuspension only (no-hysterectomy group) and 23 had a concomitant abdominal hysterectomy and cul-de-sac obliteration (hysterectomy group). Twenty-five months postoperatively, no differences were found in the cure rate for urinary stress incontinence between the two groups (95.5 and 95.7% for the no-hysterectomy and the hysterectomy group, respectively). In the no-hysterectomy group, three patients (13.6%) had enterocele formation after surgery; this complication did not occur in any of the patients in the hysterectomy group.
authors.affiliation: Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin, Israel.
authors.forename: R
authors.initials: R
authors.lastname: Langer
authors.forename: R
authors.initials: R
authors.lastname: Ron-El
authors.forename: M
authors.initials: M
authors.lastname: Neuman
authors.forename: A
authors.initials: A
authors.lastname: Herman
authors.forename: I
authors.initials: I
authors.lastname: Bukovsky
authors.forename: E
authors.initials: E
authors.lastname: Caspi
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014621:Vagina / Q000601:surgery*