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Korean Journal of Obstetrics & Gynecology 2004;47(2):264-268.
Published online February 1, 2004.
Comparative Study of Tension-free Vaginal Tape and Burch Colposuspension in the Surgical Management of Female Stress Urinary Incontinence.
Jo Young Kim, Hee Seong Jeong, Young Tae Lee, Sun Hee Cha, Hyeon Chul Kim, Suk Ho Kang, Jin Ho Cho
1Bundang Cha General Hospital, Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Sungnam, Kyonggi-do, Korea.
2Bundang Cha General Hospital, Department of Urology, College of Medicine, Pochon CHA University, Sungnam, Kyonggi-do, Korea.
Abstract
OBJECTIVE
The purpose of this study was to compare the effectiveness, easiness, postoperative complications between tension-free vaginal tape (TVT) and Burch colposuspension (BC) in the surgical management of female genuine stress urinary incontinence. METHODS: A retrospective study of 77 cases with stress urinary incontinence at Department of Obstetrics and Gynecology and Urology, Pochon CHA University Medical College from January 2000 to December 2002, followed up more than 6 months. All of 77 cases were above grade 2 genuine stress urinary incontinence, 37 cases were performed tension-free vaginal tape, 40 cases were performed Burch colposuspension. RESULTS: Cure rate was 91.4% in the tension-free vaginal tape (TVT) group, 90% in the Burch colposuspension group. The mean operative time for TVT was 23.4 minutes and for Burch colposuspension was 47.2 minutes. The mean hospital stay in TVT was 1.8 days and in Burch colposuspension was 5.2 days. The incidence and severity of postoperative complication is similar in both groups. CONCLUSION: The cure rates of TVT were comparable with Burch colposuspension in the surgical management of female genuine stress urinary incontinence. And the incidence and severity of postoperative complication is similar in both groups. Moreover TVT is simple procedure more than Burch colposuspension.
Key Words: Tension-free vaginal tape, Burch colposuspension, Stress urinary incontinence


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