Comparison of Extraperitoneal Laparoscopic Versus Open Burch Colposuspension for Treatment of Stress Urinary Incontinence: Long Term Follow-up

Kim, Sang Yon; Kim, Hong sik; Choo, Myung Soo

Abstract

PURPOSE: Laparoscopic Burch colposuspension has been described as an alternative method to the surgical correction of stress urinary incontinence. We attempt to compare long-term results of laparoscopic and open Burch colposuspension in women with stress urinary incontinence.
MATERIALS AND METHODS
We retrospectively reviewed 51 consecutive cases of extra peritoneal laparoscopic (n=31) and open Burch colposuspension (n=20). Success rate was assessed by telephone interview and clinical data.
RESULTS
Preoperative data of the two groups were not different statistically. The suc cess rate of laparoscopic group was 74.2% with a mean follow-up of 48.1 months and that of open Burch group was 80.0% with a mean follow-up of 43.1 months. On comparing extraperitoneal laparoscopic and open Burch procedure, laparoscopic group significantly required shorter operating time (110 minutes versus 138 minutes; p <0.05), shorter length of hospitalization (3.6 days versus 7.4 days; 0.01) and shorter catheter indwelling time (2.5 days versus 4.2 days; 0.01).
CONCLUSIONS
Extraperitoneal laparoscopic Burch colposuspension offers a less in vasive and effective approach to the surgical correction of stress urinary incontinence in terms of success rate, hospital stay and catheter indwelling time in properly selected patients.