Outcomes and surgical therapeutic index of Burch colposuspension in stress urinary incontinence.
OBJECTIVE
To apply the new concept of a surgical therapeutic index to patients who suffer from stress urinary incontinence using the cure rate and complication rates of Burch colposuspension and to develop a preoperative counseling tool and objective comparison tool for the many surgical procedures that have been described.


METHODS
We reviewed the case histories of 22 patients between March 1999 and March 2000 who had stress urinary incontinence and underwent Burch colposuspension and in whom the diagnosis of stress urinary incontinence was made using urodynamic studies and the cotton-tipped-swab test. The surgical therapeutic index was then calculated using the median percentage cure rate and complication rate.


RESULTS
The surgical cure rates were 81.8%, 81.8%, 90.9%, 90.9%, 95.4% and 95.4% at postoperative 1st, 3rd, 5th, 7th, 9th and 12th month, respectively, and the surgical complication rates were 69%, 36%, 31.5%, 27%, 22.5% and 27%. The surgical therapeutic indices for each postoperative period were 1.19, 2.27, 2.89, 3.37, 4.24 and 3.53, respectively. The surgical cure rate for Burch colposuspension in stress urinary incontinence was 95.4% 1 year after surgery, and the surgical therapeutic index 1 month and 1 year after surgery was 1.19 and 3.53, respectively.


CONCLUSIONS
Burch colposuspension is a relatively effective and safe surgical procedure for managing stress urinary incontinence.
Bai
Sang Wook
SW
Department of Obstetrics and Gynecology, College of Medicine, Yonsei University, Seoul, South Korea 120-752. swbai@yumc.yonsei.ac.kr
Roh
Jin Lae
JL
Kim
Jeong Yeon
JY
Chung
Kyung A
KA
Kim
Sei Kwang
SK
Park
Ki Hyun
KH
D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D018570:Risk Assessment; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D014563:Urodynamics; D013519:Urogenital Surgical Procedures / Q000379:methods*