The management of recurrent cases after the Burch colposuspension: 7 years experience.
OBJECTIVE
We aimed to discuss our approach to the failure cases whose primary surgery was Burch colposuspension.


METHODS
Total cases who underwent Burch colposuspension was 298, however, 36 cases lost follow-up therefore the study population was 262 cases. Forty-two patients having recurrent stress urinary incontinence (16.0%) after Burch procedure enrolled for the study. Twenty-nine of the recurrent cases were treated with mid-urethral slings tension-free vaginal tape or transobturator tape (TOT) as a secondary procedure, whereas thirteen of the recurrent cases preferred to take medical therapy. Seven of the failed patients after the repeat surgery accepted TOT as a tertiary procedure.


RESULTS
The cumulative cure rates after the secondary and tertiary interventions were 62.1 and 57.1%, respectively. No complications were noticed during the secondary and tertiary surgical interventions.


CONCLUSIONS
Our study showed that suburethral sling surgery can be an effective choice for the treatment of recurrent cases after Burch colposuspension.
Ataturk Training and Research Hospital, Clinics of Urogynecology, Ankara, Turkey.
Ahmet Akin
AA
Sivaslioglu
Eylem
E
Unlubilgin
H Levent
HL
Keskin
Orhan
O
Gelisen
Ismail
I
Dolen
D000328:Adult; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D053825:Suburethral Slings; D017211:Treatment Failure; D014550:Urinary Incontinence, Stress / Q000601:surgery*