title: Is Burch or mid-urethral sling better with abdominal sacral colpopexy?
abstract: OBJECTIVE
  This study aims to compare the post-operative rates of stress urinary incontinence (SUI) after abdominal sacral colpopexy (ASC) with either Burch or mid-urethral sling, tension-free vaginal tape (TVT), or no anti-incontinence procedure. The null hypothesis was there would be no difference in SUI among groups.
  
  
  METHODS
  A cohort of women who had undergone ASC (n = 150) either alone or with an anti-continence procedure were analyzed to determine the rates of post-operative SUI. Statistically significant differences were evaluated with a Student's t-test.
  
  
  RESULTS
  A total of 150 subjects were evaluated, with 115 having SUI preoperatively. Post-operatively, 10% (15/150) of all subjects had SUI. Subjects with preoperative SUI who had a Burch were more likely to have post-operative SUI than those who had a TVT (10 versus 0, p = 0.007).
  
  
  CONCLUSIONS
  Burch and TVT procedures improve SUI symptoms in patients undergoing ASC. Mid-urethral slings performed with ASC have lower rates of post-operative SUI.
authors.affiliation: Division of Urogynecology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, CT, USA. mpatel@harthosp.org
authors.forename: Minita
authors.initials: M
authors.lastname: Patel
authors.forename: David
authors.initials: D
authors.lastname: O'Sullivan
authors.forename: Paul K
authors.initials: PK
authors.lastname: Tulikangas
mesh_terms: D000005:Abdomen; D000328:Adult; D003127:Colposcopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D012447:Sacrum; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000601:surgery*