[The Burch technique in the surgical treatment of stress urinary incontinence in women. Assessment of results and analysis of failure causes].
OBJECTIVE
To present our experience with the Burch procedure in the treatment of female urinary stress incontinence (USI) and the assessment of the causes of failure with this technique.


METHODS
From January 1987 to june 1997 this technique was applied to 157 patients with USI. The mean age of these women was 54.2 years (30-76) and the mean follow-up was 50.24 months. Physical examination, urethral profile and the severity of the USI were not considered in the indication of the procedure.


RESULTS
After three months, we had total continence or improvement in 80.7%. This rate decreased to 76% after one year. From the second year it was 70%, maintained to fifth year. Considering the severity of incontinence, in patients with mild-moderate grade, we obtained good outcomes after 5 years in 87%. If there was associated detrusor alterations, the rate decreased to 51.8%, and with a bad urethral profile, decreased to 42.4%.


CONCLUSIONS
The Burch procedure is useful in the treatment of USI but requires a good selection of the patients.
Vicente Prados
F J
FJ
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada.
Espejo Maldonado
E
E
Tallada Buñuel
M
M
Cózar Olmo
J M
JM
Martínez Morcillo
A
A
Pedrajas de Torres
G
G
Buitrago Sivianes
S
S
Rodríguez Herrera
F
F
D000328:Adult; D000368:Aged; D003663:Decision Trees; D005260:Female; D006801:Humans; D008875:Middle Aged; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods
Técnica de Burch en el tratamiento quirúrgico de la incontinencia urinaria de esfuerzo femenina. Valoración de los resultados y análisis de las causas de los fracasos.