Abstract
Overview: Burch colposuspension is introduced in 1961 and since then it has been the gold standard treatment modality for genuine urinary stress incontinence. Methods: In this prospective cross-sectional study we have analyzed data from 36 women aged 42 to 63 years who had undergone laparoscopic Burch colposuspension at Colombo South Teaching Hospital Sri Lanka during the period from 2012 to 2021. Patients completed a self-administered Short Urinary Distress Inventory (SUDI) and Short Incontinence Impact Questionnaire (SIIQ) at both the baseline and the post-operative follow up (6 months, 12 months) period. The Genito-Urinary Treatment Satisfaction Scale (GUTSS) was utilized to assess satisfaction with the outcomes of the laparoscopic repair surgery. Results: Six months following the surgery, Stress Urinary Incontinence (SUI) was 9.38% with p=0.38, SUI and/or urge incontinence was 18.75% with p=0.56, which were statistically not significant. In both analyses of SUDI and SIIQ there were significant improvements in outcomes. Satisfaction with treatment outcomes from the GUTSS at six months follow up was 32.5 ± 5.8 with p=0.48. At 12 months following surgery, 15.6% of patients had GSI while 9.38% had stress incontinence frequently (p=0.26). Conclusion: Laparoscopic Burch colposuspension is an effective technique and treatment modality for urinary stress incontinence. Both objective and subjective evaluation of surgical outcomes at 6 and 12 months of follow-up demonstrated significant improvement and repetitive corrective surgeries are uncommon.
Highlights
Introduction and backgroundStress urinary incontinence (SUI) is defined as involuntary leakage of urine on exertion or on coughing[1] or sneezing by the International Continence Society
The study was conducted as a prospective cross sectional study at Colombo South Teaching Hospital, Sri Lanka
Satisfaction with treatment outcomes from the Genito-Urinary Treatment Satisfaction Scale (GUTSS) at 6 months follow up was 32.5±5.8 with p=0.48 where the maximum marks allocated for overall satisfaction was 34 (Table 4)
Summary
Stress urinary incontinence (SUI) is defined as involuntary leakage of urine on exertion or on coughing[1] or sneezing by the International Continence Society. It is a common but debilitating problem to the affected individuals with regard to their quality of life (QOL). The Burch colposuspension is a reliable surgical management option for SUI caused by urethral hypermobility[5,6,7] where two or three delayed or nonabsorbable sutures are placed 2-3cm lateral to the neck of the bladder through the endopelvic fascia and through the ipsilateral Cooper’s ligament and knotted in a tension free manner[8]. The long term effectiveness and the success of the Burch colposuspension (5 to 10 years following the surgery) have been reported as continence in 70% of the patients[9,10]
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