Cistouretropexia laparoscópica tipo Burch para el tratamiento de la incontinencia urinaria de esfuerzos: seguimiento a largo plazo

Calle G., Gustavo; De Los Ríos P., José; Castañeda R., Juan; Serna A., Eduardo; Vásquez R., Ricardo; Arango M., Adriana; Muñoz S., Henry; Buitrago D., Carlos
August 2011
Revista Chilena de Obstetricia y Ginecología;2011, Vol. 76 Issue 4, p215
Academic Journal
Objectives: To describe the subjective cure rate, the score of the Sandvik test and the complications after laparoscopic Burch in patients with stress urinary incontinence (SUI). Methods: Prospective descriptive study. We included all patients diagnosed with SUI Blaivas type IIB, and operated on by laparoscopy in two reference institutions between 2003 and 2007. Results: We analyzed 72 patients with an average age of 46.57 ± 9.54 years. The average follow-up was 24.4 months, with a minimum of 9 and a maximum of 55.8. The average operating time in 29 patients in which we only performed laparoscopic Burch with or without colporrhaphy was 93.7 minutes (55-180 minutes); 56 patients (77.8%) reported subjective cure. The Sandvik's severity index found 56.9% dry patients and 13.8% with mild losses. Conclusion: The laparoscopic management may be useful in some patients, especially those who will be carried to laparoscopy by some other indication. Subjective cure rates are similar to other types of surgery.


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