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Comparison of outcomes of three different surgical techniques performed for stress urinary incontinence
Author(s) -
Kilicarslan Hakan,
Guvenal Tevfik,
Ayan Semih,
Gokce Gokhan,
Cetin Ali,
Gultekin E Yener
Publication year - 2003
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2003.00596.x
Subject(s) - medicine , urinary incontinence , cure rate , stress incontinence , urology , sling (weapon) , urinary system , surgery , neck of urinary bladder , urethra , retrospective cohort study , urinary bladder
Background: The aim was to compare the efficacy of Burch colposuspension, transvaginal four‐corner bladder neck suspension (FCBNS) and the vaginal wall sling (VWS) procedures in patients with stress urinary incontinence. Methods: A retrospective analysis was performed on 88 patients who underwent Burch colposuspension ( n = 20), FCBNS ( n = 29) and VWS ( n = 39) for stress urinary incontinence. Objective and subjective cure rates at 3 months and annually after the operation were the primary outcome measures. Results: The patients were similar in age, parity, menopausal status, grade of cystocel and preoperative residual urine volumes. Fourteen out of 20 (70%) patients showed improvement in the group undergoing Burch colposuspension, 29 out of 39 (74.4%) patients showed improvement in the FCBNS group, and 28 out of 29 (96.6%) patients showed improvement in the VWS group. The mean length of follow up was 3.8 years (range 3–5). Conclusion: In this study, the VWS procedure had a higher long‐term cure rate of stress urinary incontinence when compared with the Burch colposuspension and the FCBNS procedures.