The Journal of the American Association of Gynecologic Laparoscopists · 1997
Laparoscopic bladder neck suspension.
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Papasakelariou C, Papasakelariou B
Аннотация
STUDY OBJECTIVE: To determine the results of transperitoneal laparoscopic bladder neck suspension.
DESIGN: Prospective observational study.
SETTING: A university-affiliated hospital.
PATIENTS: Thirty-two consecutive women with the diagnosis of genuine stress incontinence and hypermobile proximal urethra and bladder neck.
INTERVENTIONS: Laparoscopic transperitoneal bladder neck suspension (Burch procedure) in combination with laparoscopic-assisted vaginal hysterectomy or other procedures.
MEASUREMENTS AND MAIN RESULTS: Success was defined as lack of leakage of urine, negative Q-Tip test, and good voiding control without need for drugs 6 weeks postoperatively. Over a minimum follow-up of 24 months, the procedure yielded satisfactory urethrovesical support in all patients and an overall success rate of 90.6%.
CONCLUSIONS: Laparoscopic transperitoneal bladder neck suspension (Burch procedure) is an excellent endoscopic technique for the surgical treatment of genuine stress incontinence, although it awaits the test of time.
DESIGN: Prospective observational study.
SETTING: A university-affiliated hospital.
PATIENTS: Thirty-two consecutive women with the diagnosis of genuine stress incontinence and hypermobile proximal urethra and bladder neck.
INTERVENTIONS: Laparoscopic transperitoneal bladder neck suspension (Burch procedure) in combination with laparoscopic-assisted vaginal hysterectomy or other procedures.
MEASUREMENTS AND MAIN RESULTS: Success was defined as lack of leakage of urine, negative Q-Tip test, and good voiding control without need for drugs 6 weeks postoperatively. Over a minimum follow-up of 24 months, the procedure yielded satisfactory urethrovesical support in all patients and an overall success rate of 90.6%.
CONCLUSIONS: Laparoscopic transperitoneal bladder neck suspension (Burch procedure) is an excellent endoscopic technique for the surgical treatment of genuine stress incontinence, although it awaits the test of time.