title: Laparoscopic Burch colposuspension: a randomized controlled trial comparing two transperitoneal surgical techniques.
abstract: OBJECTIVE
  To compare the effectiveness of two transperitoneal laparoscopic Burch procedures.
  
  
  METHODS
  The sample size required was 30 subjects per group to detect a statistically significant estimated difference of 15% between two surgical procedures with an alpha = 0.05 and a power of 0.7. Sixty women affected by genuine stress incontinence (GSI) were enrolled and randomly assigned to two groups of 30 women each. All women were treated with the transperitoneal laparoscopic Burch procedure using nonabsorbable sutures (group A) or Prolene mesh (Ethicon, Somerville, NJ) fixed with tacks or staples (group B). The failure rate was defined subjectively and objectively. The subjective evaluation was performed by asking the women to rate their urine loss on a visual analog scale. The objective evaluation was a clinical evaluation using multichannel urodynamic studies.
  
  
  RESULTS
  The subjective failure rate was not significantly different between the two groups at 3 months (0% for both groups), 6 months (3.7% versus 3.8% for groups A and B, respectively), and 12 months (7.4% versus 15.4% for groups A and B, respectively) after surgery. At 3 months (3.7% versus 3.8% for groups A and B, respectively) and 6 months (7.4% versus 15.4% for groups A and B, respectively) follow-up, the objective failure rate was not significantly different between the two groups. However, at 12 months after the surgical procedure, the objective failure rate was significantly lower in group A than in group B (11.1% versus 26.9%, respectively; P <.05).
  
  
  CONCLUSIONS
  Transperitoneal laparoscopic Burch colposuspension performed using sutures was more effective than the mesh technique.
authors.affiliation: Department of Experimental Medicine, University of Catanzaro, Catanzaro, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Zullo
authors.forename: S
authors.initials: S
authors.lastname: Palomba
authors.forename: F
authors.initials: F
authors.lastname: Piccione
authors.forename: M
authors.initials: M
authors.lastname: Morelli
authors.forename: B
authors.initials: B
authors.lastname: Arduino
authors.forename: P
authors.initials: P
authors.lastname: Mastrantonio
mesh_terms: D003127:Colposcopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D013526:Surgical Mesh; D013537:Sutures; D013997:Time Factors; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*
chemical_list: D011126:Polypropylenes