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Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence
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Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence
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Journal Article
Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence
2006
Overview
In this randomized trial, the addition of Burch colposuspension to abdominal sacrocolpopexy (performed for the treatment of pelvic-organ prolapse) decreased postoperative urinary stress incontinence in women without preoperative stress incontinence, without increasing urge incontinence. These findings will help inform decisions about surgical treatment of women with pelvic-organ prolapse.
The addition of Burch colposuspension to abdominal sacrocolpopexy (performed for the treatment of pelvic-organ prolapse) decreased postoperative urinary stress incontinence in women without increasing urge incontinence.
Pelvic-organ prolapse, in which the pelvic organs (uterus, bladder, and bowel) protrude into or past the vaginal introitus, is a condition often treated with surgery.
1
,
2
Women have an 11 percent risk of surgery for prolapse or urinary incontinence by 80 years of age, and of this 11 percent, almost one third of the women have a second surgery.
3
This fact points to the need for improved treatment of pelvic-floor disorders.
Prolapse commonly coexists with lower urinary tract dysfunction, such as stress urinary incontinence.
1
–
3
Stress incontinence occurs when increased intraabdominal pressure, such as with coughing or sneezing, forces urine . . .
Publisher
Massachusetts Medical Society
Subject
/ Aged
/ Biological and medical sciences
/ Female
/ Humans
/ Nephrology. Urinary tract diseases
/ Postoperative Complications - epidemiology
/ Postoperative Complications - prevention & control
/ Urinary Bladder Diseases - epidemiology
/ Urinary Bladder Diseases - surgery
/ Urinary Incontinence, Stress - prevention & control
/ Urinary Incontinence, Stress - surgery
/ Urinary system involvement in other diseases. Miscellaneous
/ Urinary tract. Prostate gland
/ Urogenital Surgical Procedures - methods
/ Women
