Safety and efficacy of robotic-assisted Burch for pure stress urinary incontinence: a large case series
| Autor: | Furkan Dursun, Mostafa A. Borahay, Victoria Petruzzi, Gokhan Sami Kilic, Toy G. Lee, Antonio F. Saad, Bekir Serdar Unlu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Robotic assisted Urinary Incontinence Stress medicine.medical_treatment Burch urethropexy Urinary incontinence Urogynecology Urethropexy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Urethra medicine Humans Robotic surgery Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Cystoscopy Middle Aged Surgery Treatment Outcome 030220 oncology & carcinogenesis Female medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology. 41:803-806 |
| ISSN: | 1364-6893 0144-3615 |
| Popis: | Burch urethropexy is one of the earliest and most effective surgeries for stress urinary incontinence. Minimally invasive robotic surgery is becoming more popular in the field of urogynecology. Herein, we present the safety and efficacy of a large case series of robotic-assisted Burch urethropexy. A retrospective chart review was performed on robotic-assisted Burch urethropexy cases performed between 2013 and 2019. Patient characteristics, perioperative data and follow-up outcomes were collected at a single teaching institution. A total of 76 women underwent robotic-assisted Burch urethropexy for pure stress urinary incontinence. Fifty of them had concomitant robotic procedures at the time of the Burch. We performed the robotic-assisted Burch urethropexy alone on 26 patients. The mean age was 55 years old. The overall treatment success rate was 85% with a mean follow-up time of 134 (±157.8) days. Complications included cystotomy (3%), urinary tract infection (16%) and postoperative voiding dysfunction (10%). Our study reveals that robotic-assisted Burch urethropexy is a feasible option in the treatment of stress urinary incontinence in terms of operative outcomes and short-term efficacy.Impact statement |
| Databáze: | OpenAIRE |
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