Comparison of Burch colposuspension and transobturator tape when combined with abdominal sacrocolpopexy.

OBJECTIVE: To compare the treatment outcomes of Burch colposuspension and transobturator tape (TOT) when each is combined with abdominal sacrocolpopexy (ASC) to treat stress urinary incontinence (SUI) with pelvic organ prolapse (POP).

METHODS: Consecutive cases of Burch colposuspension and TOT combined with ASC were retrospectively reviewed. Patients with SUI and POP beyond stage III--according to the POP-quantification system--were included.

RESULTS: Mean hospital stay was longer in the Burch group (n=49) than in the TOT group (n=60) (11.3 vs 7.8 days; P<0.001), as was operation time (202.7 vs 170.1 minutes; P<0.001); furthermore, there were higher rates of urinary retention (53.1% vs 11.7%; P<0.001), de novo urgency (18.4% vs 3.3%; P=0.01), and recurrent SUI (18.4% vs 1.7%; P=0.003) in the Burch group. The cure rate was significantly higher in the TOT group than in the Burch group (98.3% vs 69.7%; P<0.001).

CONCLUSION: The use of TOT with ASC resulted in higher cure rates and better functional outcomes than did Burch colposuspension with ASC.