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Burch Colposuspension or Sling for Stress Incontinence? A Prospective Study using Transrectal Ultrasound
Author(s) -
RICHMOND D. H.,
SUTHERST J. R.
Publication year - 1989
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1989.tb05317.x
Subject(s) - sling (weapon) , stress incontinence , medicine , ultrasound , urology , urinary incontinence , surgery , radiology
Summary— Twenty‐nine women with stress incontinence were treated surgically by Burch colposuspension or ox fascial sling. The operation was selected prospectively according to the transrectal ultrasound appearance of the bladder neck and urethra during stress. Two groups were defined according to the extent of bladder neck descent and posterior rotation during stress: Type I (minimal descent, i.e. < 1.5 cm) and Type II (downward posterior rotational movement). Success rates of 76% are reported and the action of each procedure discussed.