engleski

Comparison of Tension-Free Vaginal Tape and Burch Colposuspension for Surgical Treatment of Female Stress Urinary Incontinence

During 2001 and 2002, 15 women hospitalized in Požega County General Hospital underwent the tension-free vaginal tape (TVT) procedure, and 21 women had Burch colposuspension for stress urinary incontinence. The mean age of the patients treated by the TVT method and Burch colposuspension was 50.3 (range 38-72) and 48.6 (range 39-66) years, respectively. Among the 15 women who underwent TVT, ten (66.7%) were less than 50 years old, two (13.3%) were in the 51-60 age group, and three (20.0%) were aged >60. Among 21 women who underwent Burch procedure, 11 (52.4%) were aged <50, nine (42.9%) were in the 51-60 age group, and one (4.7%) patient was aged >60 years ( c2=4.6 ; p=NS). The mean duration of TVT operation was 38 (range 30-47) minutes, and of Burch operation 49 (range 43- 65) minutes. The mean duration of hospitalization was 5.0 (range 3-14) days in patients treated with TVT method, and 15.0 (range 10-18) days in those treated with Burch colposuspension. Of 15 patients treated with TVT method, 12 (80.0%) were hospitalized for less than 7 days, and three (20.0%) for 8-14 days. Of 21 patients treated with Burch colposuspension, ten (47.6%) were hospitalized for 8-14 days, and 11 (52.4%) for more than 14 days (p<0.001). Irrespective of the treatment chosen, the correction of stress urinary incontinence was successful in all patients. During the follow-up, stress urinary incontinence was significantly decreased or completely eliminated in all patients. So, we concluded that both operative procedures for stress urinary incontinence correction were equally effective. Despite our relatively short experience with the TVT method, it is surely appropriate for patients with normal gynecologic findings, however, Burch colposuspension is more appropriate in patients with genital prolapse or other benign uterine or adnexal pathology.

urinary incontinence - stress - surgery; vagina - surgery; urological surgical procedures - methods; urodynamics - female

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