Washington J L, Somers K
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Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(4):253-5; discussion 255. doi: 10.1007/s001920200052.
Our objective was to describe our experience with laparoscopic Burch colposuspension and to relate our results to traditional open Burch procedures for the treatment of genuine stress incontinence. Retrospective case series were compared to historical controls. Forty-six women found to have only genuine stress incontinence by history, examination and clinical urodynamics, underwent a mesh and staple laparoscopic Burch procedure. Follow-up ranged from 3 to 50 months. Thirty-seven women were dry, 6 were improved and 3 showed no improvement. This compared to between 75% and 90% of women cured of stress incontinence by the traditional open Burch procedure. We concluded that the results of a mesh and staple laparoscopic Burch procedure in a carefully selected population of women with genuine stress incontinence appears comparable to that reported in the literature for an open Burch procedure.
我们的目的是描述我们进行腹腔镜下Burch阴道悬吊术的经验，并将我们的结果与传统开放性Burch手术治疗真性压力性尿失禁的结果进行比较。回顾性病例系列与历史对照进行比较。46名经病史、检查和临床尿动力学检查仅发现真性压力性尿失禁的女性接受了网状物和吻合钉腹腔镜下Burch手术。随访时间为3至50个月。37名女性症状消失，6名有所改善，3名无改善。相比之下，传统开放性Burch手术可使75%至90%的压力性尿失禁女性治愈。我们得出结论，在精心挑选的真性压力性尿失禁女性人群中，网状物和吻合钉腹腔镜下Burch手术的结果似乎与文献中报道的开放性Burch手术相当。
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