Kinn A C
Department of Urology, Karolinska Hospital, St Göran's Hospital, Stockholm, Sweden.
Scand J Urol Nephrol. 1995 Dec;29(4):449-55. doi: 10.3109/00365599509180026.
The long-term results of Burch colposuspension for stress urinary incontinence were evaluated in 153 women operated on in 1984-1990. At follow-up 2 months postoperatively, 88% of the women reported continence, 5% were almost continent and the failure rate was 7%. At 24 months the corresponding figures were 86.7 and 7% and 39-102 months (mean 5 years) postoperatively they were 78, 11 and 11%. There were few complications. Follow-up urodynamic investigations showed significant rise of the pressure transmission from bladder to urethra in the cured patients. Reasons for failure are discussed. For patients with low urethral closure pressure, a vaginal sling procedure is preferable to Burch operation. Burch colposuspension is safe and advisable for patients with genuine stress incontinence. Urodynamic evaluation thus should be made preoperatively, but need not to be repeated if the clinical result is good.
对1984年至1990年间接受手术的153名女性进行了Burch阴道悬吊术治疗压力性尿失禁的长期效果评估。术后2个月随访时，88%的女性报告尿失禁症状消失，5%的女性几乎无尿失禁，失败率为7%。术后24个月时，相应数据分别为86.7%、7%和39至102个月（平均5年）时分别为78%、11%和11%。并发症很少。随访尿动力学检查显示，治愈患者膀胱至尿道的压力传递显著升高。讨论了失败的原因。对于尿道闭合压较低的患者，阴道吊带手术比Burch手术更可取。Burch阴道悬吊术对真性压力性尿失禁患者是安全且可取的。因此，术前应进行尿动力学评估，但如果临床效果良好则无需重复。
