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Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up.

Publication ,  Journal Article
Jelovsek, JE; Barber, MD; Karram, MM; Walters, MD; Paraiso, MFR
Published in: BJOG
January 2008

OBJECTIVE: To compare the long-term efficacy of laparoscopic Burch colposuspension with tension-free vaginal tape (TVT) for the treatment of urodynamic stress urinary incontinence (SUI). DESIGN: Long-term follow up from a prospective randomised trial. SETTING: Academic tertiary referral centre. SAMPLE: Seventy-two women with urodynamic SUI from two institutions. METHODS: Subjects were randomised to either laparoscopic Burch or TVT from August 1999 to August 2002. Follow-up evaluations occurred 6 months, 1 year, 2 years, and 4-8 years after surgery. MAIN OUTCOME MEASURES: Subjects completed the Incontinence Severity Index, Urogenital Distress Inventory 6 (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and Patient Global Impression of Improvement (PGI-I) scales. RESULTS: Median follow-up duration was 65 months (range 12-88 months) with 92% completing at least one follow-up visit. Seventy-four percent of subjects had long-term (4-8 years) follow up. Fifty-eight percent of subjects receiving laparoscopic Burch compared with 48% of TVT subjects reported any urinary incontinence 4-8 years after surgery (Relative Risk (RR):1.19; 95% CI: 0.71-2.0) with no significant difference between groups. Bothersome SUI symptoms were seen in 11 and 8%, respectively, 4-8 years after surgery (P = 0.26). There was significant improvement in the postoperative UDI-6 and IIQ-7 scores in both groups at 1-2 years that were maintained throughout follow up with no significant differences between the groups. CONCLUSIONS: TVT has similar long-term efficacy to laparoscopic Burch for the treatment of SUI. A substantial proportion of subjects have some degree of urinary incontinence 4-8 years after surgery; however, the majority of incontinence is not bothersome.

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Published In

BJOG

DOI

EISSN

1471-0528

Publication Date

January 2008

Volume

115

Issue

2

Start / End Page

219 / 225

Location

England

Related Subject Headings

  • Urodynamics
  • Urinary Incontinence
  • Treatment Outcome
  • Suburethral Slings
  • Reoperation
  • Recurrence
  • Quality of Life
  • Prospective Studies
  • Patient Satisfaction
  • Obstetrics & Reproductive Medicine
 

Citation

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Jelovsek, J. E., Barber, M. D., Karram, M. M., Walters, M. D., & Paraiso, M. F. R. (2008). Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up. BJOG, 115(2), 219–225. https://doi.org/10.1111/j.1471-0528.2007.01592.x
Jelovsek, J. E., M. D. Barber, M. M. Karram, M. D. Walters, and M. F. R. Paraiso. “Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up.BJOG 115, no. 2 (January 2008): 219–25. https://doi.org/10.1111/j.1471-0528.2007.01592.x.
Jelovsek JE, Barber MD, Karram MM, Walters MD, Paraiso MFR. Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up. BJOG. 2008 Jan;115(2):219–25.
Jelovsek, J. E., et al. “Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up.BJOG, vol. 115, no. 2, Jan. 2008, pp. 219–25. Pubmed, doi:10.1111/j.1471-0528.2007.01592.x.
Jelovsek JE, Barber MD, Karram MM, Walters MD, Paraiso MFR. Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up. BJOG. 2008 Jan;115(2):219–225.
Journal cover image

Published In

BJOG

DOI

EISSN

1471-0528

Publication Date

January 2008

Volume

115

Issue

2

Start / End Page

219 / 225

Location

England

Related Subject Headings

  • Urodynamics
  • Urinary Incontinence
  • Treatment Outcome
  • Suburethral Slings
  • Reoperation
  • Recurrence
  • Quality of Life
  • Prospective Studies
  • Patient Satisfaction
  • Obstetrics & Reproductive Medicine