Five Years Follow Up of Laparoscopic Burch Colposuspension for Stress Urinary Incontinence in Thai Women
Suvit Bunyavejchevin, MD, MHS* Wirach Wisawasukmongchol, MD*
Affiliation : * Department of Obstetrics & Gynecology, Faculty of Medicine, Chulalongkorn University
Objectives : To study the cure rate and 5 year results of laparoscopic burch colposuspension for stress urinary
incontinence in Thai women.
Materials and Methods : Twenty one Thai women with stress urinary incontinence attending the gynecology
clinic at King Chulalongkorn Memorial hospital were recruited. Pre operative clinical and urodynamic
evaluation were done. They underwent Laparoscopic burch colposuspension between January – December
1998. The cure rate was evaluated by clinical and urodynamic examination.
Results : The mean + SD of operative time, blood loss and hospital stay were 70 + 20 min, 140 + 30 ml and 1.6
+ 0.5 days respectively. The complication rate was 19.1% (Bladder injuries 2 cases, voiding difficulties 1
case and de novo detrusor overactivity 1 case). The objective cure rate at 5 years was 76.2%.
Conclusion : The authors found that the cure rate was rather low in laparoscopic burch colposuspension. Due
to the long operative time, the requirement of complicated instruments and well trained physicians, the
authors suggested that this technique should be selected only in cases of women with concomitant gyneco-
logic disease that required lapascopic surgery.
Keywords : Laparoscopic colposuspension, Stress urinary incontinence
