Updated systematic review and meta-analysis of the comparative data on colposuspensions
, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence.
Significantly more colposuspension
patients (13 percent) than TVT patients (3 percent) required self-catheterization at six months.
5 19/21 Y Y 5 TVT-O 2 Colposuspension
& bulking (x2) 27 N 40 11 UTI, fever 3 7/21 Y N 6 TVT 4 Pessary & bulking 27 Y 30 25 - 2 0/21 N N 7 TVT 5 Colposuspension
& pessary 28 N 0 29 De novo voiding dysfunction (CISC) 0.
The incidence of genital prolapse after the Burch colposuspension
Laparoscopic Burch colposuspension
and the tension-free vaginal tape procedure.
Continence surgery Burch retropubic Acute risks are colposuspension
, urinary retention, anterior colporrhaphy, wound infection, suburethral sling urinary tract procedures (eg, infection, surgical tension-free vaginal injury, bleeding, tape) time lost from work or other activities, and expense.
It should also be kept in mind that up 20% of patients are still incontinent, to some degree, after a prophylactic colposuspension
Current level I evidence suggests that the optimal procedure for anterior vaginal repair is abdominal sacrocolpopexy combined with a Burch colposuspension
and paravaginal repair.
Surgery There are two operations to rectify serious damage to the pelvic floor - Burch colposuspension
and the insertion of Tension-Free Tape.
Open retropubic colposuspension
is effective for primary SUI which has longevity (grade A).
Older women who undergo Burch colposuspension
or pubovaginal sling procedure for the treatment of stress urinary incontinence can expect perioperative outcomes similar to those for younger women, but they are more likely to experience continued symptoms and to need retreatment by 2 years, based on a secondary analysis involving 655 women.
The majority of patients received a Burch colposuspension
, primarily for support of the anterior vaginal wall.
My surgeon recommends a repair called a colposuspension
5] and (2) the more obstructive nature of a sling over a colposuspension
For example, if you do a colposuspension
and a dermoid, '-59' will allow you to bypass and get reimbursed for separate services," Dr.