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Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence.

Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence. Research Abstract Details 

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  • Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence. Abstract Text:

    charles r rardinCharles R Rardin,vivian w sungVivian W Sung,brittany star hamptonBrittany Star Hampton,jeffrey l clemonsJeffrey L Clemons,vivian aguilarVivian Aguilar,eric r sokolEric R Sokol,charles r rardinCharles R Rardin,vivian w sungVivian W Sung,brittany star hamptonBrittany Star Hampton,jeffrey l clemonsJeffrey L Clemons,vivian aguilarVivian Aguilar,eric r sokolEric R Sokol,

    OBJECTIVE: The objective of the study was to describe long-term objective and subjective success rates and complications following transvaginal Burch urethropexy for stress urinary incontinence. STUDY DESIGN: A case series of 66 women who underwent vaginal Burch urethropexy for urodynamic stress urinary incontinence with urethral hypermobility using a suture carrier device is presented. Concurrent prolapse repairs were performed as indicated. RESULTS: Sixty-six women (mean age 49.4 +/- 12.1 years) underwent vaginal Burch urethropexy. Mean follow-up time was 20.9 +/- 18.9 months. Objective failure was observed in 16 patients (24.2%). Subjective failure was reported by 21.2% of patients, with 50% and 28.8% reporting success and improvement, respectively. Six patients (9%) experienced febrile illness, 4 (6%) experienced intraoperative hemorrhage, 1 (1.5%) received transfusion, and 1 (1.5%) experienced pelvic abscess. Twelve patients (18.2%) experienced suture erosion; half required surgical revision or excision. CONCLUSION: Vaginal Burch urethropexy is generally well tolerated but is associated with poor long-term success and high suture erosion rates.

    Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence. Publishing Authors By Initials

    cr rardinCR Rardin,vw sungVW Sung,bs hamptonBS Hampton,jl clemonsJL Clemons,v aguilarV Aguilar,er sokolER Sokol,cr rardinCR Rardin,vw sungVW Sung,bs hamptonBS Hampton,jl clemonsJL Clemons,v aguilarV Aguilar,er sokolER Sokol,

    For similar surgical procedures, operative: urogenital surgical procedures research abstracts see: surgical procedures, operative: urogenital surgical procedures research

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    Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: American journal of obstetrics and gynecology

    VOLUME: 197

    Page Numbers: 656.e1-5

    Journal Abbreviation: Am. J. Obstet. Gynecol.

    ISSN: 1097-6868

    DAY: 18

    MONTH: Dec

    YEAR: 2007

    Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 370476

    Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence. Keywords Mesh Terms:

    KEYWORDS: Urogenital Surgical Procedures

    MESH TERMS: instrumentation

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    Grant and Affiliation Information for Long-term follow-up of a transvaginal Burch urethropexy for stress urinary incontinence.

    AFFILIATION: Department of Obstetrics and Gynecology, Brown Medical School/Women's and Infants' Hospital, Providence, RI, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Am J Obstet Gynecol

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