How does a concomitant surgery effect the outcomes of Burch colposuspension?
OBJECTIVE
To evaluate the outcomes of 90 Burch colposuspension procedures with or without concomitant surgery after a 6-year follow-up period.


METHODS
The study was carried out in the urogynecology department of Ankara Etlik Women's and Maternity Teaching Hospital, Turkey. Ninety women who were diagnosed as having genuine stress urinary incontinence (GSI) were enrolled in this study. The Burch colposuspension procedure was performed for the treatment of genuine stress urinary incontinence with or without a concomitant surgery


RESULTS
After a 6-year follow-up, it has been noted that concomitant surgeries have no effect on the outcome of continence (P>0.05). Pelvic prolapse incidence was 7%. No voiding difficulty was observed.


CONCLUSIONS
The study shows that concomitant surgeries have no effect on the outcome of continence. However, concomitant surgery can increase operational morbidity. Modified McCall culdoplasty does not seem to be a preventive measure for pelvic organ prolapse.
Sivaslioglu
Ahmet A
AA
Ministry of Health Ankara Etlik Maternity and Women's Teaching Research Hospital, Ankara, Turkey. aas@tr.net
Haberal
Ali
A
Dolen
Ismail
I
Deveci
Zehra S
ZS
D015897:Comorbidity; D003464:Culdoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007889:Leiomyoma / Q000453:epidemiology* / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000601:surgery*; D013520:Urologic Surgical Procedures; D014594:Uterine Neoplasms / Q000453:epidemiology* / Q000601:surgery; D014596:Uterine Prolapse / Q000453:epidemiology