[Stress incontinence in women. Is there still an indication to perform the Burch colposuspension and the fascial sling procedure?].
Open Burch colposuspension has been the gold standard for many years in therapy for stress urinary incontinence and still has a major position in this field by virtue of its excellent long-term results. Tension-free transvaginal tapes nowadays also achieve the same success rates and replace the Burch operation due to less invasiveness of the procedure (1). Burch colposuspension is still used in cases of recurrence and as a combination procedure for stress urinary incontinence and vaginal prolapse. The laparoscopic Burch procedure has been increasingly performed in recent years.Fascial sling procedures are used primarily for recurrence of female stress urinary incontinence and intrinsic sphincter deficiency. The treatment principle is based on repositioning both the urethra when it has descended and the bladder neck as well as increasing the reduced outlet resistance. This approach is still employed today to treat stress urinary incontinence in women.
Klinik für Urologie, Kinderurologie und Urologische Onkologie, Klinikum Niederberg, Velbert. goepel@klinikum-niederberg.de
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D019317:Evidence-Based Medicine; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D012086:Reoperation; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery*