Title:

The estimation of the efficacy of Burch colposuspension: laparoscopy versus laparotomy in the treatment of stress urinary incontinence

Author:

Stangel-Wójcikiewicz, Klaudia

Subject:

urinary incontinence ; urodynamic test ; Burch colposuspension ; laparoscopy ; open surgery

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.

Level of degree:

2 - studia doktoranckie

Degree discipline:

ginekologia ; urologia ; chirurgia

Degree grantor:

Wydział Lekarski

Promoter:

Marek Klimek

Date:

2007

Date issued:

2007

Type:

Praca doktorska

Format:

application/pdf

Call number:

ZB-106071

ControlNumberVIRTUA:

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Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

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