title: A retrospective review of perioperative complications in 360 patients who had Burch colposuspension.
abstract: This retrospective study reviews intraoperative and early complications of Burch colposuspension of 360 patients. Ten patients had massive haemorrhage and 8 of them had a blood transfusion. Three patients had a haematoma. Bladder injuries were noticed in 10 patients, 3 of whom were diagnosed postoperatively. One patient had unilateral ureteral kinking. Urinary retention occurred in 20 patients for more than 10 days and 2 required catheterization for 26 and 32 days respectively. Eighteen patients had a wound infection and 4 had a wound abscess. Twenty nine patients had a urinary infection. Urinary tract injury, haemorrhage and blood transfusion were significantly more common in women having secondary surgery than those having primary surgery. Deep venous thrombosis was diagnosed in 3 patients who had a Burch colposuspension with concomitant abdominal hysterectomy. Knowledge of possible risks and complications of Burch colposuspension may help plan a better preoperative work-up of patients and may minimize the intraoperative complications and increase surgical success and patient satisfaction.
authors.affiliation: Department of Obstetrics and Gynaecology, Medical School of Abant Izzet Baysal University, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Demirci
authors.forename: N
authors.initials: N
authors.lastname: Yucel
authors.forename: S
authors.initials: S
authors.lastname: Ozden
authors.forename: N
authors.initials: N
authors.lastname: Delikara
authors.forename: S
authors.initials: S
authors.lastname: Yalti
authors.forename: E
authors.initials: E
authors.lastname: Demirci
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery*