Prevention of genital prolapse following Burch colposuspension: Comparison between two surgical procedures

R. Langer*, Y. Lipshitz, R. Halperin, M. Pansky, I. Bukovsky, D. Sherman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Our objective was to evaluate the efficacy of cul-de-sac obliteration in preventing pelvic floor anatomical defects formation following Burch colposuspension. We evaluated 441 patients who had undergone Burch colposuspension. The patients were divided into two groups: group A (132 patients) who underwent Burch colposuspension only, and group B (309 patients) who had had a concomitant cul-de-sac obliteration. Culde-sac obliteration was performed using two different techniques, the Moschocowitz procedure in 131 patients, and approximation of the sacrouterine ligaments in 178 patients. The follow-up period was 8.6 years (range 3-16). In total we found 43/441 (9.7%) postoperative anatomical defects. Obliteration of the cul de sac significantly (P < 0.0001) reduced the formation of anatomical defects compared to Burch colposuspension. In a comparison of the two surgical procedures for cul-desac obliteration, the approximation of the sacrouterine ligaments was significantly more effective than either the Moschcowitz procedure (P < 0.001) or the Burch colposuspension alone (P < 0.001). The Moschcowitz procedure reduced the formation of anatomical defects to 15/131 (11.4%) compared to Burch colposuspension only (25/132; 18.9%), but statistically the difference was insignificant. The time of anatomical defect detection was significantly reduced after cul-de-sac obliteration: 2 years 6/25 (24%) in group A compared to 1/8 (5.5%) in group B (P <0.01). After 5 years the detection rate was 64% (16/25) and 22.2% (4/18) respectively (P < 0.01). It was concluded that cul-de-sac obliteration using approximation of the sacrouterine ligaments significantly reduced the incidence of anatomical defect formation following Burch colposuspension. A long follow-up period is needed to evaluate the truce incidence.

Original languageEnglish
Pages (from-to)13-16
Number of pages4
JournalInternational Urogynecology Journal
Volume14
Issue number1
DOIs
StatePublished - Feb 2003
Externally publishedYes

Keywords

  • Burch colposuspension
  • Cul-de-sac obliteration
  • Prevention of anatomical defects

Fingerprint

Dive into the research topics of 'Prevention of genital prolapse following Burch colposuspension: Comparison between two surgical procedures'. Together they form a unique fingerprint.

Cite this