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Laparoscopic and Open Burch Colposuspension For Stress Urinary Incontinence: Advantages / Disadvantages
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| Author:
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AHMED ALI OBAID, SHIREN ALI AL-HAMZAWI, AHMED ABDUL AMEER ALWAN
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| Abstract:
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Objectives: Stress urinary incontinence (SUI) represents considerable physical and psychological load on women. Laparoscopic colposuspension (LC) for treatment of women with SUI is getting publicity because of its advantages such as, the small incisions, the short hospital stays and better esthetic results. This paper throws light on the advantages and disadvantages of (LC) and opens Burch colposuspension (OC) for urinary incontinence besides their related complications. Patients and
Methods: Twenty six women with SUI from two hospitals who had physical, social and psychological sequel were enrolled for this study through 1st of December 2017 to10th of February 2019. The sample was equally divided into two groups each one of 13 women. Data were collected and analyzed statistically. P = 0.05 has statistical significance. Results: The study disclosed that the operative time in OC approach was significantly shorter than for LC approach (59.2 ± 5.3 minutes, 91 ± 4.5 minutes) respectively. The mean blood loss is higher in OC approach than the LC approach (152.2 ± 30.3, 143.3 ± 38.6) respectively. LC approach has minimum pain and short hospital stay than OC approach. Patients who had the LC approach required less analgesia postoperatively (8.9 ± 1.3 mg versus 2.5 ± 1.8 mg), less length of hospitalization (70.2 ± 8.9 hours versus 110.3 ± 11.4 hours). Resumption of normal activity was quicker in LC approaches than OC approaches (25.1± (12.6) days, 18.9± (12.5) days) respectively. Regarding the complications no significant difference was revealed between OC and LC approaches.
Conclusions: LC is a superior and less invasive approach in comparison with open Burch approach concerning hospital stay, blood loss, pain and period of recovery, while the operation time is longer.
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| Keyword:
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Stress, Laparoscopy, analgesia, urinary
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.293
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| Download:
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