title: Standardized modified colposuspension--mid-term results of prospective studies in one centre.
abstract: BACKGROUND
  Burch colposuspension is still estimated as a 'gold standard' by the Cochrane Collaboration Group in the treatment of operative stress urinary incontinence (SUI) Some urogynecologists agree with this statement, some argue that Burch colposuspension should no longer be used.
  
  
  OBJECTIVE
  The aim of this study was to evaluate mid-term effects and patient's satisfaction with standardized modified colposuspension performed in one centre.
  
  
  METHODS
  Modified colposuspension was performed after standardization by 2 trained gynaecologists in 354 women. Data collected from 227 women were added to the final analysis of mid-term results. Average time from the operation to mid-term visit was 19 months (range 9-36 months).
  
  
  RESULTS
  At mid-term visit, 86.3% of patients were cured. There was no case of post-void urine residual over 100 ml. Pain near the operated region was reported by 1 woman from agricultural region. No one reported negative impact of modified colposuspension on sexual activity or dyspareunia.
  
  
  CONCLUSIONS
  Modified colposuspension according to the E. Petri technique seems to be an operation that is safe and well-tolerated by women with preoperative stress urinary incontinence and paravaginal defect without urodynamic signs of ISD in mid-term observation.
authors.affiliation: Clinic of Operative and Oncologic Gynaecology, 1 st Department of Obstetrics and Gynaecology, Medical University, Łódź, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Surkont
authors.affiliation: Clinic of Operative and Oncologic Gynaecology, 1 st Department of Obstetrics and Gynaecology, Medical University, Łódź, Poland.
authors.forename: Edyta
authors.initials: E
authors.lastname: Wlaźlak
authors.affiliation: University of Greifswald, Department of Obstetrics and Gynecology, Germany.
authors.forename: Eckhard
authors.initials: E
authors.lastname: Petri
authors.affiliation: Clinic of Operative and Oncologic Gynaecology, 1 st Department of Obstetrics and Gynaecology, Medical University, Łódź, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Suzin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011044:Poland / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D011446:Prospective Studies; D012725:Sexual Behavior; D053825:Suburethral Slings / Q000009:adverse effects / Q000706:statistics & numerical data; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000523:psychology*