Five years follow up of laparoscopic burch colposuspension for stress urinary incontinence in Thai women.
OBJECTIVE
To study the cure rate and 5 year results of laparoscopic burch colposuspension for stress urinary incontinence in Thai women.


METHODS
Twenty one Thai women with stress urinary incontinence attending the gynecology clinic at King Chulalongkorn Memorial hospital were recruited. Pre operative clinical and urodynamic evaluation were done. They underwent Laparoscopic burch colposuspension between January - December 1998. The cure rate was evaluated by clinical and urodynamic examination.


RESULTS
The mean +/- SD of operative time, blood loss and hospital stay were 70 +/- 20 min, 140 +/- 30 ml and 1.6 +/- 0.5 days respectively. The complication rate was 19.1% (Bladder injuries 2 cases, voiding difficulties 1 case and de novo detrusor overactivity 1 case). The objective cure rate at 5 years was 76.2%.


CONCLUSIONS
The authors found that the cure rate was rather low in laparoscopic burch colposuspension. Due to the long operative time, the requirement of complicated instruments and well trained physicians, the authors suggested that this technique should be selected only in cases of women with concomitant gynecologic disease that required lapascopic surgery.
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand. fmedsby@md2.md.chula.ac.th
Suvit
S
Bunyavejchevin
Wirach
W
Wisawasukmongchol
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D009775:Obstetrics and Gynecology Department, Hospital; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D013536:Suture Techniques; D013785:Thailand; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics; D013519:Urogenital Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014596:Uterine Prolapse / Q000601:surgery*