Long‐term patient‐reported outcomes after laparoscopic Burch colposuspension
| Autor: | D. Rosen, D.H. Conrad, Caroline Walsh, Stefaan Pacquée, Gregory M. Cario, T.D. Saar, Danny Chou |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Time Factors Urinary Incontinence Stress Urinary incontinence medicine Humans Patient Reported Outcome Measures Laparoscopy Aged Midurethral Slings Suburethral Slings medicine.diagnostic_test business.industry Obstetrics and Gynecology Burch colposuspension Recovery of Function General Medicine Perioperative Middle Aged medicine.disease Surgery Overactive bladder Concomitant Female Symptom Assessment medicine.symptom business Follow-Up Studies |
| Zdroj: | Australian and New Zealand Journal of Obstetrics and Gynaecology. 59:850-855 |
| ISSN: | 1479-828X 0004-8666 |
| DOI: | 10.1111/ajo.13048 |
| Popis: | Background The negative media attention surrounding vaginal mesh procedures has seen a rise in demand for minimally invasive non-mesh options for the treatment of stress urinary incontinence (SUI). The laparoscopic Burch colposuspension (LBC) is a non-mesh alternative to synthetic midurethral slings (MUS) with similar short-term outcomes. However, long-term outcomes are not well established. Aims To evaluate the long-term outcomes of LBC for treatment of SUI in women. Material and methods One hundred and fifty-one cases of LBC were performed by a single surgeon over two private hospital settings between January 2010 and January 2016. Follow-up subjective outcomes were obtained in 137 cases (90.7%) utilising standardised questionnaires. Primary outcome was successful treatment of SUI, defined as subjective cure or significant improvement of stress incontinence symptoms. Secondary outcomes included new-onset or worsened symptoms of overactive bladder (OAB), voiding dysfunction, prolapse, and perioperative complications. Results One hundred and thirty-seven patients were analysed with a mean follow-up of 50.6 months (range: 13-89 months). Primary outcome of successful treatment was achieved in 90.5% of women. New-onset or worsened symptoms of OAB was reported in 10.2%, with a further 8.8% of women experiencing symptomatic voiding dysfunction. Sixteen patients (11.7%) reported new-onset or worsening symptoms of prolapse. There were no major surgical complications. Conclusions LBC is a safe and effective long-term treatment for SUI, with low failure rates and minimal adverse outcomes. It is a suitable alternative for women with contraindications to mesh or those having concomitant laparoscopic procedures. |
| Databáze: | OpenAIRE |
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