title: Treatment of recurrent stress urinary incontinence in women: comparison of treatment results for different surgical techniques.
abstract: BACKGROUND
  There is still no consensus on which surgical technique is the most effective for female recurrent stress urinary incontinence after the initial surgery.
  
  
  OBJECTIVE
  To compare the long-term treatment outcomes of Burch colposuspension operation, transobturator tape implantation (TOT) and tension-free vaginal tape (TVT) procedures performed for female recurrent stress urinary incontinence after the initial surgery.
  
  
  METHODS
  A retrospective study was performed on 45 women operated on for recurrent stress urinary incontinence after the initial surgery. Depending on the surgical approach, the patients were divided into three groups: group I (n = 19) - Burch colposuspension operation, group II (n = 16) - TOT, and group III (n = 10) - TVT operation was performed. The treatment results were assessed using the UDI-6 (Urogenital Distress Inventory) and IIQ-7 (Incontinence Impact Questionnaire) short form questionnaires. We included one additional question: Is the patient satisfied with the treatment outcome? We classified the urinary continence results after surgery as good when patients were cured or improved, and as bad when the treatment failed.
  
  
  RESULTS
  Good urinary continence results were observed in 84.2% of patients in group I, 93.8% of patients in group II, and 90% of patients in group III. 68.4% of patients in group I, 81.3% of patients in group II, and 90% of patients in group III were satisfied with the treatment outcomes.
  
  
  CONCLUSIONS
  Burch colposuspension operation, TOT and TVT procedures performed for the female recurrent stress urinary incontinence treatment are effective and show similar good urinary continence results and similar number of patients satisfied with the treatment outcomes.
authors.affiliation: Centre of Urology, Vilnius University, Faculty of Medicine, Vilnius, Lithuania.
authors.forename: Ausra
authors.initials: A
authors.lastname: Cerniauskiene
authors.affiliation: Centre of Urology, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania.
authors.forename: Marija
authors.initials: M
authors.lastname: Barisiene
authors.affiliation: Centre of Urology, Vilnius University, Faculty of Medicine, Vilnius, Lithuania.
authors.forename: Feliksas
authors.initials: F
authors.lastname: Jankevicius
authors.affiliation: Vilnus University, Residency Centre, Vilnius, Lithuania.
authors.forename: Gediminas
authors.initials: G
authors.lastname: Januska
keywords: quality of life; suburethral sling; surgery; treatment outcome; urinary incontinence
references.citation: Int Urogynecol J. 2011 Dec;22(12):1543-7
references.pmid: 21732099
references.citation: Am J Obstet Gynecol. 2002 Jul;187(1):116-26
references.pmid: 12114899
references.citation: J Urol. 2010 Jan;183(1):241-6
references.pmid: 19913831
references.citation: Prog Urol. 2009 Oct;19(9):590-4
references.pmid: 19800546
references.citation: Am J Obstet Gynecol. 2008 Nov;199(5):546.e1-8
references.pmid: 18639207
references.citation: Am J Obstet Gynecol. 2008 Dec;199(6):666.e1-7
references.pmid: 19084098
references.citation: Arch Gynecol Obstet. 2011 Apr;283(4):787-90
references.pmid: 20229316
references.citation: J Urol. 2006 Oct;176(4 Pt 1):1493-9
references.pmid: 16952667
references.citation: Int Urogynecol J. 2010 Feb;21(2):149-55
references.pmid: 19855914
references.citation: Int Urogynecol J. 2012 Jul;23(7):831-41
references.pmid: 22576328
references.citation: Qual Life Res. 1994 Oct;3(5):291-306
references.pmid: 7841963
references.citation: Curr Opin Obstet Gynecol. 2011 Oct;23(5):355-61
references.pmid: 21836507
references.citation: Int Braz J Urol. 2008 May-Jun;34(3):336-42; discussion 343-4
references.pmid: 18601764
references.citation: Am J Obstet Gynecol. 2008 Jul;199(1):76.e1-4
references.pmid: 18221934
references.citation: J Urol. 2008 Mar;179(3):1024-30
references.pmid: 18206917
references.citation: N Engl J Med. 2009 Jan 29;360(5):481-90
references.pmid: 19179316
references.citation: Eur Urol. 2007 Nov;52(5):1481-90
references.pmid: 17482343
references.citation: Arch Gynecol Obstet. 2009 Sep;280(3):375-80
references.pmid: 19148661
references.citation: J Obstet Gynaecol Can. 2010 Sep;32(9):893-898
references.pmid: 21050525
references.citation: Female Pelvic Med Reconstr Surg. 2010 Sep;16(5):278-83
references.pmid: 22453506
references.citation: Int J Urol. 2011 Jun;18(6):452-7
references.pmid: 21435022
references.citation: Int J Gynaecol Obstet. 2003 Sep;82(3):327-38
references.pmid: 14499979