Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria.
Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Neurourol Urodyn. 2019 Feb;38(2):553-562. doi: 10.1002/nau.23905. Epub 2019 Jan 8.
To evaluate the historic and pathophysiologic issues which led to the development of Burch colposuspension, to describe anatomic and technical aspects of the operation and to provide an update on current evidence.
We have performed a focused literature review and have searched the current available literature about historic dimension, technical descriptions, and efficacy of Burch colposuspension.
Burch colposuspension, performed either by an open or a laparoscopic approach, is an effective surgical treatment for stress urinary incontinence.
In current recommendations, Burch colposuspension remains an option for secondary treatment. Because midurethral slings have recently become under scrutiny, it may return as a first-line treatment procedure. Both open and laparoscopic Burch colposuspension should therefore nowadays be provided in fellowship programs worldwide.
评估导致 Burch 耻骨后悬吊术发展的历史和病理生理学问题,描述手术的解剖和技术方面,并提供当前证据的更新。
我们进行了重点文献回顾,并搜索了关于 Burch 耻骨后悬吊术的历史维度、技术描述和疗效的现有文献。
Burch 耻骨后悬吊术,无论是通过开放还是腹腔镜途径进行,都是治疗压力性尿失禁的有效手术治疗方法。
在当前的建议中,Burch 耻骨后悬吊术仍然是二线治疗的选择。由于中尿道吊带最近受到了审查,它可能会作为一线治疗程序回归。因此,全世界的 fellowship 项目现在都应该提供开放和腹腔镜 Burch 耻骨后悬吊术。