COMPARATIVE STUDY BETWEEN LAPAROSCOPIC AND CONVENTIONAL BURCH COLPOSUSPENSION FOR TREATMENT OF GENUINE STRESS URINARY INCONTINENCE

Shafik M, Amin H, Swelam E, Abdel Dayem H, Abo El Fath A

Abstract


To compare the efficacy and complications of laparoscopic and conventional approach for Burch colposuspension in treatment of stress urinary incontinence.
Study design: Prospective randomised trial.
Methods :After standered history and preoperative evaluation, groupA( n=30) offered open Burch colposuspension and group B (n =30) had laparoscopic colposuspension.
Results: No significant differences regarding objective and subjective outcome of total 60 patients follow up at 1,6 and 12 months. More operative time found in group B (92±5.2min)versus group A(58.2±4.4min),P ˂0.001 . Laparoscopic approach was less in pain (P ˂0.001)and hospital stay(P ˂0.001) .No significant differences between both groups regarding intraoperative and post operative complications .
Conclusion: Although laparoscopic burch offers an alternative to conventional burch with shorter hospital stay, less postoperative pain and quicker recovery, but still it has its drawbacks. It needs long learning curve and has prolonged operative time


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