Tension-free vaginal tape compared with laparoscopic Burch urethropexy.
OBJECTIVE
To compare laparoscopic Burch colposuspension and tension-free vaginal tape (TVT) procedure in women with genuine stress incontinence.


METHODS
Randomized clinical study (Canadian Task Force classification I).


METHODS
Tertiary care university hospital.


METHODS
Forty-six consecutive women.


METHODS
Laparoscopic Burch colposuspension (23) and TVT procedure (23).


RESULTS
Valsalva leak-point pressure increased after surgery in both groups, but TVT substantially decreased maximum urinary flow rate. Other urodynamic studies showed no statistical differences. The groups did not differ significantly with respect to intraoperative complications or objective and subjective cure rates. Operating time was significantly longer for laparoscopic Burch (p = 0.001), and three patients in that group required conversion to laparotomy. Length of hospital stay (p = 0.003) and duration of catheterization (p = 0.003) were shorter in the TVT group.


CONCLUSIONS
TVT holds promise in women with genuine stress incontinence, with several advantages over laparoscopic Burch.
Faculty of Medicine, Department of Gynecology and Obstetrics, Ankara University, Ankara, Turkey.
Yusuf
Y
Ustün
Yaprak
Y
Engin-Ustün
Mete
M
Güngör
Sevgi
S
Tezcan
D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D011126:Polypropylenes; D019736:Prostheses and Implants; D013536:Suture Techniques; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics; D014621:Vagina / Q000601:surgery
D011126:Polypropylenes