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How does a concomitant surgery effect the outcomes of Burch colposuspension?
Ahmet A Sivaslioglu1, Ali Haberal, Ismail Dolen
1Ministry of Health Ankara Etlik Maternity and Women's Teaching Research Hospital, Ankara, Turkey. aas@tr.net
Aim:
To evaluate the outcomes of 90 Burch colposuspension procedures with or without concomitant surgery after a 6-year follow-up period.
Methods:
The study was carried out in the urogynecology department of Ankara Etlik Women's and Maternity Teaching Hospital, Turkey. Ninety women who were diagnosed as having genuine stress urinary incontinence (GSI) were enrolled in this study. The Burch colposuspension procedure was performed for the treatment of genuine stress urinary incontinence with or without a concomitant surgery
Results:
After a 6-year follow-up, it has been noted that concomitant surgeries have no effect on the outcome of continence (P>0.05). Pelvic prolapse incidence was 7%. No voiding difficulty was observed.
Conclusion:
The study shows that concomitant surgeries have no effect on the outcome of continence. However, concomitant surgery can increase operational morbidity. Modified McCall culdoplasty does not seem to be a preventive measure for pelvic organ prolapse.
