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KMID : 0191120090240061182
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Journal of Korean Medical Science
2009 Volume.24 No. 6 p.1182 ~ p.1186
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Long-Term Results of Laparoscopic Burch Colposuspension for Stress Urinary Incontinence in Women
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Hong Jeong-Hee
Choo Myung-Soo
Lee Kyu-Sung
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Abstract
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We evaluated the long-term efficacy of laparoscopic Burch colposuspension for stress urinary incontinence (SUI) in women. A total of 68 patients who underwent extraperitoneal laparoscopic Burch colposuspensions with more than a 3-yr follow-up were included. The colposuspension was performed by using two non-absorbable sutures on each side. The patients were considered to be cured of SUI if they had a negative result of cough stress test and there were no reports of urine leakage during physical stress. The mean follow-up period was 52 months (range, 36 to 83 months). The overall subjective cure rate was reported in 49 patients (72%). There was no significant difference between the cured and non-cured group in terms of clinical parameters. The cure rate tended to decline gradually over time and it was more deteriorated significantly after 4 yr of surgery. Based on these results, we recommend that long-term follow-up is needed when evaluating the clinical efficacy of anti-incontinence surgery.
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KEYWORD
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Urinary Incontinence, Stress, Laparoscopy, Follow-Up Studies
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