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Search for: [Abstract = "The purpose of this study was to evaluate the clinical results of a laparoscopic Burch colposuspension with those of a classic Burch colposuspension, among women with stress urinary incontinence, using urodynamic testing. One hundred\-eight women, between the ages of 34 and 78 with urodynamically diagnosed genuine stress incontinence, were recruited for the study. Fifty\-one patients underwent a laparoscopy and fifty\-seven had undergone a laparotomy. Follow\-up was conducted at 18 months after the surgery. Urodynamic parameters, which were estimated prior to and after the transabdominal surgery, were found to be statistically significant \- Qmax \(<0.0062\), FS \(<0.0012\). Stress tests after the procedure appeared to be without urine leak and with a correct bladder pressure. Urodynamic parameters of patients who underwent laparoscopy, and were found to be statistically significant prior to and after the procedure, were as follows \- Qmax \(<0.0001\), Pain \(>0.0415\). As in the case of transabdominal surgery, stress tests following laparoscopy appeared to be without urine leak and with a correct bladder pressure. Mean operating time for laparoscopy was 53.13\+6.20 minutes and 38.70\+6.89 minutes \(p<0.0001\) for laparotomy. Mean blood loss was 94.60\+40.32 ml and 154.82\+50.68 ml, respectively \(p<0.001\). Wound infection, retropubic hematoma, dyspareunia, and thrombophlebitis were associated only with laparotomy. There was no bladder perforation in any of the groups. After a follow\-up period of 18 months, the results of the two procedures were found to be comparable. However, laparoscopic approach is associated with a lower complication rate and a shorter hospital stay."]

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