Urinary Incontinence: Outcomes & Complications

Moderated Poster Session

MP3-22 - Laproscopic Burch colposuspension in failed midurethral sling procedures

Presenting Author(s)

• 

  Priyatham Kasaraneni, MS General Surgery

  MCh Urology Final year Resident
  M.S Ramaiah medical college

Author(s)

• NH

  Nagaraj H.K.
• PS

  Prakash Babu S.M.L.
• TJ

  Tarun Dilip Javali

Introduction & Objective :

Midurethral sling procedures are the most common operations performed for women with stress urinary incontinence (SUI). However, there is very scanty evidence regarding the management of complications from these operations. The aim of the study is to look into outcomes of laparoscopic burch colposuspension in the management of recurrent SUI.

Methods :

 We conducted a prospective observational study between March 2007 and March 2016. All patients participated following a written informed consent. The patients included in this study, suffered of urinary stress incontinence or mixed incontinence following mid urethral sling procedures and we used the laparoscopic colposuspension for the treatment of the disorder. The cure rate was evaluated objectively based on personal examination, and subjectively using an “Incontinence Questionnaire”, postoperatively.

Results :

 Out of 146 patients, 3.42% had preoperatively a USI I (urinary stress incontinence grade I), 17.07% a USI II and 76.71% a USI III. Mixed incontinence was observed in 34.24% of the patients. The cure rates achieved in our study were 92.465%. The overall complication rate was 7.534%. 

Conclusions :

 The high cure rates obtained in this study, sustained by the literature results, support the further recommendation of the laparoscopic colposuspension in the treatment of recurrent urinary stress incontinence in failed mid urethral sling cases