Burch colposuspension: a 10–20 year follow up
Article first published online: 19 AUG 2005
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 102, Issue 9, pages 740–745, September 1995
How to Cite
Alcalay, M., Stanton, S. L. and Monga, A. (1995), Burch colposuspension: a 10–20 year follow up. BJOG: An International Journal of Obstetrics & Gynaecology, 102: 740–745. doi: 10.1111/j.1471-0528.1995.tb11434.x
- Issue published online: 19 AUG 2005
- Article first published online: 19 AUG 2005
- Received 22 July 1994, Accepted 4 April 1995
Objective To review the outcome of women who underwent Burch colposuspension 10 to 20 years ago and to assess factors which affect long term success.
Design Longitudinal retrospective study.
Setting Urogynaecology Unit, St George's Hospital, London.
Subjects One hundred and nine women with genuine stress incontinence.
Main outcome measures Survival analysis of subjective and objective cure of stress incontinence.
Results Cure of incontinence following Burch colposuspension is time-dependent, with a decline for 10 to 12 years when a plateau of 69% is reached. Factors adversely affecting cure are previous bladder neck surgery (logrank test P= 0.02), pre-operative weight greater than 80 kg, intra-operative blood loss more than 1000 ml and the development of post-operative detrusor instability. Post-operative complications included de novo detrusor instability (14.7%), long term complaints of voiding difficulty with objective recovery at the final follow up (22%) and recurrent urinary tract infection (4.6%).
Conclusions Long term follow up after colposuspension is necessary to assess sequelae. We suggest that new continence procedures should be followed up for 5 to 10 years.