Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence.
OBJECTIVE
The objective of the study was to describe long-term objective and subjective success rates and complications following transvaginal Burch urethropexy for stress urinary incontinence.


METHODS
A case series of 66 women who underwent vaginal Burch urethropexy for urodynamic stress urinary incontinence with urethral hypermobility using a suture carrier device is presented. Concurrent prolapse repairs were performed as indicated.


RESULTS
Sixty-six women (mean age 49.4 +/- 12.1 years) underwent vaginal Burch urethropexy. Mean follow-up time was 20.9 +/- 18.9 months. Objective failure was observed in 16 patients (24.2%). Subjective failure was reported by 21.2% of patients, with 50% and 28.8% reporting success and improvement, respectively. Six patients (9%) experienced febrile illness, 4 (6%) experienced intraoperative hemorrhage, 1 (1.5%) received transfusion, and 1 (1.5%) experienced pelvic abscess. Twelve patients (18.2%) experienced suture erosion; half required surgical revision or excision.


CONCLUSIONS
Vaginal Burch urethropexy is generally well tolerated but is associated with poor long-term success and high suture erosion rates.
Department of Obstetrics and Gynecology, Brown Medical School/Women's and Infants' Hospital, Providence, RI, USA.
Charles R
CR
Rardin
Vivian W
VW
Sung
Brittany Star
BS
Hampton
Jeffrey L
JL
Clemons
Vivian
V
Aguilar
Eric R
ER
Sokol
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation