Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence

Background: Stress urinary incontinence [SUI] is defined as the involuntary passage of urine during activities lead to increased intra-abdominal pressure. The cause is urethral hypermobility or weakness of intrinsic sphincter. It is a common type of urinary incontinence. No consensus was reached for...

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Autores principales:	Adel Shaltout, khaled Mohamed Sabry, Mohamed Ahmed Abdelaal, Amany Ahmed Soliman
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	burch colposuspension transobturator tape stress urinary incontinence Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2a3c85b8602c442492fc4a5d213e65ea
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spelling	oai:doaj.org-article:2a3c85b8602c442492fc4a5d213e65ea2021-12-02T19:33:14ZLaparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence2636-41742682-378010.21608/ijma.2021.83881.1337https://doaj.org/article/2a3c85b8602c442492fc4a5d213e65ea2021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_194812_6ddfc92ddcfe0f911c05281060994f99.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Stress urinary incontinence [SUI] is defined as the involuntary passage of urine during activities lead to increased intra-abdominal pressure. The cause is urethral hypermobility or weakness of intrinsic sphincter. It is a common type of urinary incontinence. No consensus was reached for the standard treatment approach.Aim of the work: The current study aimed to compare the efficacy and safety of laparoscopic [Burch] colposuspension procedure and Transobturator tape [TOT] procedure in the treatment of female genuine SUI.Patients and Methods: The study included 30 adult females with grade II or III genuine SUI; according to Blavias and Olsson classification. All were assessed by history taking, physical examination, laboratory and radiological investigations. Then, they were divided into two equal groups according to surgical intervention. the primary outcome was symptoms improvement. Secondary outcomes included intra operative and post-operative complications.Results: The mean operative time in Burch group was longer than TOT group [70.67 ± 17.48 vs 50.35 ± 25.54, minutes respectively]. However, the difference was non-significant. The intraoperative blood loss was 90.48 ± 31.55 and 64.57 ± 16.22 ml, in Burch and TOT groups respectively. The type of continence was mainly of sole stress type [86.7% and 93.3% in Burch and TOT groups respectively]. Severe postoperative [PO] pain was reported only by one patient in Burch group. Burch had a significantly lower cost that TOT [155.8 ± 1.46 vs 344.39 ± 1.29 $, respectively], and there was significant reduction of retention, difficulty, dribbling of urine, intermittency and hesitancy [continence status] among Burch than TOT group. In addition, different unwanted aspects of sexual function were significantly lower among Burch than TOT group.Conclusion: Laparoscopic Burch colposuspension procedure resulted in significantly favorable outcome regarding cost, continence and sexual function. The complications were comparable between both procedures.Adel Shaltoutkhaled Mohamed SabryMohamed Ahmed AbdelaalAmany Ahmed SolimanAl-Azhar University, Faculty of Medicine (Damietta)articleburchcolposuspensiontransobturator tapestress urinary incontinenceMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1827-1834 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	burch colposuspension transobturator tape stress urinary incontinence Medicine (General) R5-920
spellingShingle	burch colposuspension transobturator tape stress urinary incontinence Medicine (General) R5-920 Adel Shaltout khaled Mohamed Sabry Mohamed Ahmed Abdelaal Amany Ahmed Soliman Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence
description	Background: Stress urinary incontinence [SUI] is defined as the involuntary passage of urine during activities lead to increased intra-abdominal pressure. The cause is urethral hypermobility or weakness of intrinsic sphincter. It is a common type of urinary incontinence. No consensus was reached for the standard treatment approach.Aim of the work: The current study aimed to compare the efficacy and safety of laparoscopic [Burch] colposuspension procedure and Transobturator tape [TOT] procedure in the treatment of female genuine SUI.Patients and Methods: The study included 30 adult females with grade II or III genuine SUI; according to Blavias and Olsson classification. All were assessed by history taking, physical examination, laboratory and radiological investigations. Then, they were divided into two equal groups according to surgical intervention. the primary outcome was symptoms improvement. Secondary outcomes included intra operative and post-operative complications.Results: The mean operative time in Burch group was longer than TOT group [70.67 ± 17.48 vs 50.35 ± 25.54, minutes respectively]. However, the difference was non-significant. The intraoperative blood loss was 90.48 ± 31.55 and 64.57 ± 16.22 ml, in Burch and TOT groups respectively. The type of continence was mainly of sole stress type [86.7% and 93.3% in Burch and TOT groups respectively]. Severe postoperative [PO] pain was reported only by one patient in Burch group. Burch had a significantly lower cost that TOT [155.8 ± 1.46 vs 344.39 ± 1.29 $, respectively], and there was significant reduction of retention, difficulty, dribbling of urine, intermittency and hesitancy [continence status] among Burch than TOT group. In addition, different unwanted aspects of sexual function were significantly lower among Burch than TOT group.Conclusion: Laparoscopic Burch colposuspension procedure resulted in significantly favorable outcome regarding cost, continence and sexual function. The complications were comparable between both procedures.
format	article
author	Adel Shaltout khaled Mohamed Sabry Mohamed Ahmed Abdelaal Amany Ahmed Soliman
author_facet	Adel Shaltout khaled Mohamed Sabry Mohamed Ahmed Abdelaal Amany Ahmed Soliman
author_sort	Adel Shaltout
title	Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence
title_short	Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence
title_full	Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence
title_fullStr	Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence
title_full_unstemmed	Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence
title_sort	laparoscopic burch colposuspension versus transobturator tape for female genuine stress urinary incontinence
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/2a3c85b8602c442492fc4a5d213e65ea
work_keys_str_mv	AT adelshaltout laparoscopicburchcolposuspensionversustransobturatortapeforfemalegenuinestressurinaryincontinence AT khaledmohamedsabry laparoscopicburchcolposuspensionversustransobturatortapeforfemalegenuinestressurinaryincontinence AT mohamedahmedabdelaal laparoscopicburchcolposuspensionversustransobturatortapeforfemalegenuinestressurinaryincontinence AT amanyahmedsoliman laparoscopicburchcolposuspensionversustransobturatortapeforfemalegenuinestressurinaryincontinence
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Laparoscopic Burch Colposuspension versus Transobturator Tape for Female Genuine Stress Urinary Incontinence

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