Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup
The aim of this study was to reevaluate and update the followup of a previously published randomized controlled trial (RCT) on the impact of Burch Colposuspension (BC), as an anti-incontinence procedure, i...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2012/967923 |
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| Summary: | The aim of this
study was to reevaluate and update the
followup of a previously published randomized
controlled trial (RCT) on the impact of Burch
Colposuspension (BC), as an anti-incontinence
procedure, in patients with UI and POP, who
underwent POP repair. Forty-seven women were
randomly assigned to abdominal POP repair and
concomitant BC (24 patients; group A) or POP
repair alone without any anti-incontinence
procedure (23 patients; group B). Median
followup was 82 months (range 60–107); from
over 47 patients, 30 reached 6-year followup.
Two patients were lost at followup. In group A,
2 patients showed a stage I rectocele. In group
B, 2 patients had a stage I rectocele and 1 a
stage II rectocele. In group A, 13/23 (56.5%)
were still incontinent after surgery compared
with 9/22 patients (40.9%) in group B
(P=0.298). No significant changes were observed between the
first and the current followup. The update of
long-term followup confirmed that BC did not improve outcome
significantly in incontinent women when they undergo POP
repair. |
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| ISSN: | 1687-9589 1687-9597 |