Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, TX, USA.
School of Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX, USA.
J Obstet Gynaecol. 2021 Jul;41(5):803-806. doi: 10.1080/01443615.2020.1803239. Epub 2020 Oct 16.
Burch urethropexy is one of the earliest and most effective surgeries for stress urinary incontinence. Minimally invasive robotic surgery is becoming more popular in the field of urogynecology. Herein, we present the safety and efficacy of a large case series of robotic-assisted Burch urethropexy. A retrospective chart review was performed on robotic-assisted Burch urethropexy cases performed between 2013 and 2019. Patient characteristics, perioperative data and follow-up outcomes were collected at a single teaching institution. A total of 76 women underwent robotic-assisted Burch urethropexy for pure stress urinary incontinence. Fifty of them had concomitant robotic procedures at the time of the Burch. We performed the robotic-assisted Burch urethropexy alone on 26 patients. The mean age was 55 years old. The overall treatment success rate was 85% with a mean follow-up time of 134 (±157.8) days. Complications included cystotomy (3%), urinary tract infection (16%) and postoperative voiding dysfunction (10%). Our study reveals that robotic-assisted Burch urethropexy is a feasible option in the treatment of stress urinary incontinence in terms of operative outcomes and short-term efficacy.Impact statement Minimally invasive robotic surgery is becoming more popular in the field of urogynecology. Surgical repairs for stress urinary incontinence will likely increase in the coming years secondary to an aging population. Burch urethropexy is one of the earliest and most effective surgeries for stress urinary incontinence and can be performed abdominally, laparoscopically and now, using robotic assistance. This study reveals that robotic-assisted Burch urethropexy is a feasible option in the treatment of stress urinary incontinence in terms of intraoperative outcomes with good short-term efficacy. Lately, interest in colposuspension procedures has been rekindled as physicians seek alternative stress urinary incontinence treatment options. Robotic-assisted Burch urethropexy will continue to gain popularity with its efficacy and safety.
Burch 尿道悬吊术是治疗压力性尿失禁最早、最有效的手术之一。微创机器人手术在妇科泌尿学领域越来越受欢迎。在此，我们报告了大量机器人辅助 Burch 尿道悬吊术病例的安全性和有效性。对 2013 年至 2019 年间在单所教学医院行机器人辅助 Burch 尿道悬吊术的病例进行了回顾性图表审查。收集了患者特征、围手术期数据和随访结果。共有 76 名女性因单纯性压力性尿失禁接受了机器人辅助 Burch 尿道悬吊术。其中 50 例在 Burch 手术时同时进行了机器人辅助手术。我们单独对 26 例患者进行了机器人辅助 Burch 尿道悬吊术。平均年龄为 55 岁。总体治疗成功率为 85%，平均随访时间为 134（±157.8）天。并发症包括膀胱切开术（3%）、尿路感染（16%）和术后排尿功能障碍（10%）。我们的研究表明，机器人辅助 Burch 尿道悬吊术在手术结果和短期疗效方面是治疗压力性尿失禁的可行选择。
影响声明微创机器人手术在妇科泌尿学领域越来越受欢迎。由于人口老龄化，未来几年治疗压力性尿失禁的手术修复可能会增加。Burch 尿道悬吊术是治疗压力性尿失禁最早、最有效的手术之一，可经腹、腹腔镜和现在经机器人辅助进行。这项研究表明，机器人辅助 Burch 尿道悬吊术在治疗压力性尿失禁方面是一种可行的选择，在术中结果方面具有良好的短期疗效。最近，由于医生寻求替代压力性尿失禁治疗方案，对阴道悬吊术的兴趣重新燃起。机器人辅助 Burch 尿道悬吊术将继续因其疗效和安全性而受到欢迎。
