Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 1 , Pages 33-38, March 2006

Are There any Predictors for Failed Burch Colposuspension?

  • Mou-Jong Sun

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • ,
  • Soo-Cheen Ng

      Affiliations

    • Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan
    • ,
  • Kwong-Pang Tsui

      Affiliations

    • Division of Urogynecology, Department of Obstetrics and Gynecology, Cheng Ching Hospital, Taichung, Taiwan
    • ,
  • Ning-en Chang

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • ,
  • Kuo-Cherng Lin

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, Taiwan
    • ,
  • Gin-Den Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr. Gin-Den Chen, Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, 110, Section 1, Chien-Kuo North Road, Taichung 40201, Taiwan

Received 21 July 2005; received in revised form 1 August 2005; accepted 4 August 2005.

Article Outline

Summary 

Objective

To investigate early postoperative complications of Burch colposuspension and the risk factors that may be associated with failure.

Methods

We retrospectively reviewed the chart records of all patients who underwent Burch colposuspension from October 1997 to September 2002. Indications for colposuspension included urodynamic stress incontinence with bladder neck hypermobility and adequate vaginal capacity. The occurrence of early postoperative complications related to the operation was documented. Subjective failure of the operation was defined as patient dissatisfaction and/or persistent urinary leakage. Chi-square test or Fisher's exact test was used to determine the association among risk factors, early postoperative complications, and the failure rate of Burch colposuspension.

Results

A total of 258 patients (92.5%) reported satisfaction with the surgical outcome. The age, parity, menopausal status, use of hormone replacement therapy, previous hysterectomy, and occurrence of early postoperative complications did not significantly influence the failure rate.

Conclusion

Our results demonstrate that Burch colposuspension is an effective and, according to our patients, highly satisfactory procedure for the treatment of urodynamic stress incontinence.

Key Words:  Burch colposuspension , risk factor , urodynamic stress incontinence

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References 

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PII: S1028-4559(09)60187-X

doi:10.1016/S1028-4559(09)60187-X

Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 1 , Pages 33-38, March 2006

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