Liapis A, Pyrgiotis E, Kontoravdis A, Louridas C, Zourlas P A
Second Department of Obstetrics & Gynecology, University of Athens, Greece.
Eur J Obstet Gynecol Reprod Biol. 1996 Jan;64(1):69-72. doi: 10.1016/0301-2115(95)02247-3.
Eighty-one women with clinical and urodynamic findings of genuine stress incontinence and genital prolapse were randomly selected to be surgically treated with either anterior colporrhaphy or Burch colposuspension. Each patient had a complete clinical and urodynamic evaluation before surgery and at 2 months and 3 years after surgery. Differences in cure rates between the two procedures at the 2-month post-operative evaluation were insignificant; however, at the 3-year post-surgical evaluation, the cure rate of women who had undergone Burch colposuspension was significantly higher than that of women who had undergone anterior colporrhaphy (cure rates were 88% and 57%, respectively; P < 0.001). The Burch colposuspension was more effective than the anterior colporrhaphy in the stabilization of the bladder base, neck and proximal urethra as confirmed by transvaginal sonography. Post-operative spontaneous voiding was uneventful in both procedures. Results of this study demonstrate that the Burch colposuspension in our hands was more effective in treating genuine stress incontinence and pelvic relaxation than was anterior colporrhaphy.
81名有真性压力性尿失禁和生殖器脱垂临床及尿动力学表现的女性被随机选择，接受前壁修补术或Burch阴道悬吊术进行手术治疗。每位患者在手术前、术后2个月和3年都进行了全面的临床和尿动力学评估。术后2个月评估时，两种手术的治愈率差异不显著；然而，在术后3年评估时，接受Burch阴道悬吊术的女性治愈率显著高于接受前壁修补术的女性（治愈率分别为88%和57%；P<0.001）。经阴道超声证实，Burch阴道悬吊术在稳定膀胱底部、颈部和近端尿道方面比前壁修补术更有效。两种手术术后自主排尿均顺利。本研究结果表明，我们采用的Burch阴道悬吊术在治疗真性压力性尿失禁和盆腔松弛方面比前壁修补术更有效。
