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[5 years results of incontinence operations]
K Tamussino1, F Zivkovic, D Pieber
1Geburtshilflich-Gynäkologische Universitätsklinik Graz, Osterreich.
Objective:
To evaluate results 5 years after anterior colporrhaphy with or without needle suspension of the bladder neck and after Burch colposuspension.
Methods:
186/291 women (64%) operated on between 1989 and 1990 underwent clinical and urodynamic reevaluation.
Results:
Objective continence rates after anterior colporrhaphy were 80% (20/25), 46% (22/47) and 12.5% (1/8) in patients with first-, second- and third-degree stress incontinence according to Ingelman-Sundberg. Continence rates in patients with second- and third-degree stress incontinence were 59% (29/49) after additional needle suspension and 86% (50/58) after the Burch procedure.
Conclusions:
Anterior colporrhaphy can cure mild stress incontinence but is not indicated for severe incontinence. The Burch procedure provides the best continence rates in patients with severe stress incontinence.