Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup
The aim of this study was to reevaluate and update the followup of a previously published randomized controlled trial (RCT) on the impact of Burch Colposuspension (BC), as an anti-incontinence procedure, i...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2012/967923 |
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| author | Elisabetta Costantini Massimo Lazzeri Vittorio Bini Michele Del Zingaro Emanuela Frumenzio Massimo Porena |
| author_facet | Elisabetta Costantini Massimo Lazzeri Vittorio Bini Michele Del Zingaro Emanuela Frumenzio Massimo Porena |
| author_sort | Elisabetta Costantini |
| collection | DOAJ |
| description | The aim of this
study was to reevaluate and update the
followup of a previously published randomized
controlled trial (RCT) on the impact of Burch
Colposuspension (BC), as an anti-incontinence
procedure, in patients with UI and POP, who
underwent POP repair. Forty-seven women were
randomly assigned to abdominal POP repair and
concomitant BC (24 patients; group A) or POP
repair alone without any anti-incontinence
procedure (23 patients; group B). Median
followup was 82 months (range 60–107); from
over 47 patients, 30 reached 6-year followup.
Two patients were lost at followup. In group A,
2 patients showed a stage I rectocele. In group
B, 2 patients had a stage I rectocele and 1 a
stage II rectocele. In group A, 13/23 (56.5%)
were still incontinent after surgery compared
with 9/22 patients (40.9%) in group B
(P=0.298). No significant changes were observed between the
first and the current followup. The update of
long-term followup confirmed that BC did not improve outcome
significantly in incontinent women when they undergo POP
repair. |
| format | Article |
| id | doaj-art-54a151fbd533449888922fd9d475a6c3 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-54a151fbd533449888922fd9d475a6c32025-08-20T03:34:20ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/967923967923Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year FollowupElisabetta Costantini0Massimo Lazzeri1Vittorio Bini2Michele Del Zingaro3Emanuela Frumenzio4Massimo Porena5Section of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, 06100 Perugia, ItalySection of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, 06100 Perugia, ItalyDepartment of Internal Medicine, University of Perugia, 06100 Perugia, ItalySection of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, 06100 Perugia, ItalySection of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, 06100 Perugia, ItalySection of Urology and Andrology, Department of Medical-Surgical Specialties and Public Health, University of Perugia, 06100 Perugia, ItalyThe aim of this study was to reevaluate and update the followup of a previously published randomized controlled trial (RCT) on the impact of Burch Colposuspension (BC), as an anti-incontinence procedure, in patients with UI and POP, who underwent POP repair. Forty-seven women were randomly assigned to abdominal POP repair and concomitant BC (24 patients; group A) or POP repair alone without any anti-incontinence procedure (23 patients; group B). Median followup was 82 months (range 60–107); from over 47 patients, 30 reached 6-year followup. Two patients were lost at followup. In group A, 2 patients showed a stage I rectocele. In group B, 2 patients had a stage I rectocele and 1 a stage II rectocele. In group A, 13/23 (56.5%) were still incontinent after surgery compared with 9/22 patients (40.9%) in group B (P=0.298). No significant changes were observed between the first and the current followup. The update of long-term followup confirmed that BC did not improve outcome significantly in incontinent women when they undergo POP repair.http://dx.doi.org/10.1155/2012/967923 |
| spellingShingle | Elisabetta Costantini Massimo Lazzeri Vittorio Bini Michele Del Zingaro Emanuela Frumenzio Massimo Porena Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup Obstetrics and Gynecology International |
| title | Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup |
| title_full | Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup |
| title_fullStr | Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup |
| title_full_unstemmed | Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup |
| title_short | Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup |
| title_sort | pelvic organ prolapse repair with and without concomitant burch colposuspension in incontinent women a randomised controlled trial with at least 5 year followup |
| url | http://dx.doi.org/10.1155/2012/967923 |
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