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Burch colposuspension for stress urinary incontinence: a 14-year prospective follow-up

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Abstract

We aimed to evaluate the long-term effectiveness and safety of Burch colposuspension (BC) for stress urinary incontinence (SUI). In this prospective cohort study, 84 patients with SUI undergoing BC were enrolled from February 2004 to January 2010. Data on long-term subjective success and postoperative complications were collected at clinic visits and by telephone follow-up. During a mean follow-up period of 14.2 years, 68% (57/84) patients completed the follow-up. A total of 68.4% of patients (39/57) reported absence of SUI symptoms, 73.6% (42/57) were subjectively satisfied according to the Patient Global Impression of Improvement, and 68.4% (39/57) reported subjective success regarding urinary symptoms via the Urinary Distress Inventory Short Form. However, 28.1% (16/57) suffered at least one long-term postoperative complication and incident. Specifically, 1 in 25 (4.0%) sexually active patients reported dyspareunia, 3 patients (5.3%) had de novo overactive bladder, and 6 patients (10.5%) reported voiding dysfunction. Four patients (7.0%) reported new onset prolapse symptoms, and 3 patients (5.3%) underwent secondary urinary incontinence surgery. Our study indicated that Burch colposuspension is an effective procedure for SUI, and the cure effect was largely maintained for the 14-year follow-up period, with relatively low complication rates. BC should be considered a surgical option for SUI.

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Acknowledgements

This work was supported by the National Natural Science Foundation of China (81830043 and 81771561), the National Key Research and Development Program of China (2018YFC2002201).

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China

    Yang Ye, Yuan Wang, Weijie Tian, Zhibo Zhang, Shuo Liang, Xiaochen Song, Jianbin Guo, Qianqian Gao, Honghui Shi, Zhijing Sun, Juan Chen, Jinghe Lang & Lan Zhu

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  1. Yang Ye
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  2. Yuan Wang
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  3. Weijie Tian
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Correspondence to Lan Zhu.

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Ye, Y., Wang, Y., Tian, W. et al. Burch colposuspension for stress urinary incontinence: a 14-year prospective follow-up. Sci. China Life Sci. 65, 1667–1672 (2022). https://doi.org/10.1007/s11427-021-2042-9

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