Comparison of outcomes of three different surgical techniques performed for stress urinary incontinence.
BACKGROUND
The aim was to compare the efficacy of Burch colposuspension, transvaginal four-corner bladder neck suspension (FCBNS) and the vaginal wall sling (VWS) procedures in patients with stress urinary incontinence.


METHODS
A retrospective analysis was performed on 88 patients who underwent Burch colposuspension (n = 20), FCBNS (n = 29) and VWS (n = 39) for stress urinary incontinence. Objective and subjective cure rates at 3 months and annually after the operation were the primary outcome measures.


RESULTS
The patients were similar in age, parity, menopausal status, grade of cystocel and preoperative residual urine volumes. Fourteen out of 20 (70%) patients showed improvement in the group undergoing Burch colposuspension, 29 out of 39 (74.4%) patients showed improvement in the FCBNS group, and 28 out of 29 (96.6%) patients showed improvement in the VWS group. The mean length of follow up was 3.8 years (range 3-5).


CONCLUSIONS
In this study, the VWS procedure had a higher long-term cure rate of stress urinary incontinence when compared with the Burch colposuspension and the FCBNS procedures.
Kilicarslan
Hakan
H
Departments of Urology and Obstetrics and Gynecology, Cumhuriyet University, Sivas, Turkey. hkilic@cumhuriyet.edu.tr
Guvenal
Tevfik
T
Ayan
Semih
S
Gokce
Gokhan
G
Cetin
Ali
A
Gultekin
E Yener
EY
D000328:Adult; D000704:Analysis of Variance; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D010298:Parity; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*