Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Long-term Results Of The Burch Procedure Combined With Abdominal Sacrocolpopexy For Treatment Of Vault Prolapse

M. Cosson, M. Boukerrou, F. Narducci, B. Occelli, D. Querleu, G. Crépin
Published 2003 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
The aim of the study was to determine the long-term results of Burch procedures combined with vault prolapse repair by abdominal sacrocolpopexy. Between 1986 and 1997 82 women (mean age 46.0 years, range 27–79) underwent sacrocolpopexy combined with a Burch procedure. All patients presented with urinary incontinence and vault prolapse. The surgery consisted of a Burch procedure using non-absorbable suture material, and abdominal sacrocolpopexy with a non-absorbable mesh. The mesh was placed anteriorly and posteriorly in 66 cases, posteriorly (rectovaginal) in 12, and anteriorly (vesicovaginal) in 4. Additional procedures included hysterectomy (34 cases), enterocele repair (79 cases), and posterior repair with perineorrhaphy (65 cases). Failure was defined as the presence of persistent or worsened postoperative stress urinary incontinence (SUI). At a mean follow-up of 86 months (range 24–133) 34% (28/82) of patients were dry, and another 46% (38/82) were improved compared to their preoperative status. The postoperative SUI rate (persistent, worsened) after the placement of a single anterior mesh (4 failures out of 4) was higher than the postoperative SUI rate after combined meshes (41 failures out of 66) (log rank P = 0.05). All the patients with a history of prior surgery had worsened or persistent stress urinary incontinence (7/7), but 63% (47/75) of those with no prior surgery for stress urinary incontinence had worsened or persistent stress urinary incontinence (log rank P = 0.01). One case of recurrent rectocele was observed (after 20 months) and treated by transvaginal Richter sacrospinous fixation. At a mean follow up of 7 years, the Burch procedure combined with abdominal sacrocolpopexy appears to be less effective than previously published long-term results for the Burch procedure alone.
This paper references
Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. Evolution of operative techniques.
Timmons Mc (1992)
10.1016/0020-7292(92)90055-N
Abdominal‐retroperitoneal sacral colpopexy for the correction of vaginal prolapse
T. E. Snyder (1991)
Traı̂tement par voie abdominale des prolapsus génitaux récidivés
P Caubel (1989)
Surgical Repair of Vaginal Defects
W. F. Baden (1992)
Intervention de Burch: intérêt de l’association à une promonto-fixation et une colpopérinéorraphie
J Irani (1991)
10.1159/000407974
Surgical treatment of female urinary stress incontinence.
A. Ingelman-Sundberg (1983)
[Surgical treatment of genitourinary prolapse by the abdominal approach. Apropos of a series of 232 cases].
B. Deval (1997)
Traı̂tement chirurgical des prolapsus génito-urinaires par voie abdominale. Résultats d’une série continue de 203 interventions
F Lecuru (1994)
10.1097/00006254-199209000-00015
Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. Evolution of operative techniques.
M. C. Timmons (1992)
Traı̂tement chirurgical des prolapsus génito-urinaires par voie abdominale. A propos d’une série de 232 cas
B Deval (1997)
Pelvic promontory fixation of the vaginal vault in sixty-two patients with prolapse after hysterectomy.
W. Grünberger (1994)
10.1007/978-3-642-69003-7_24
Instruments and Methods
R. Heinmiller (1983)
10.1111/j.1471-0528.1995.tb11434.x
Burch colposuspension: a 10–20 year follow up
M. Alcalay (1995)



This paper is referenced by
10.1016/J.EURURO.2006.08.034
Must colposuspension be associated with sacropexy to prevent postoperative urinary incontinence?
E. Costantini (2007)
10.1177/1756287210379120
Robotic-assisted laparoscopic mesh sacrocolpopexy
Jason P. Gilleran (2010)
10.1016/B978-0-323-02902-5.50021-6
Retropubic Operations for Stress Urinary Incontinence
M. D. Walters (2007)
10.1097/01.mou.0000172392.75728.da
The role of urodynamics in the treatment of lower urinary tract symptoms in women
J. Heesakkers (2005)
Adolescent and pediatric gynecology Cultural aspects of adolescent gynaecologic care Related review: Cultural sensitivity in providing reproductive care to adolescents (pp. 367–370)
(2004)
10.5301/RU.2012.8979
Pelvic Organ Prolapse and Lower Urinary Tract Symptoms: Experience from a High-Volume Uro-Gynecologic Center
E. Costantini (2012)
10.1007/s11934-010-0123-7
Should an Anti-incontinence Procedure Be Routinely Performed at the Time of Pelvic Organ Prolapse Repair? An Evidence-based Review
H. Atiemo (2010)
10.1097/AOG.0000000000001651
Burch Retropubic Urethropexy Compared With Midurethral Sling With Concurrent Sacrocolpopexy: A Randomized Controlled Trial
E. Trabuco (2016)
10.1016/J.EURURO.2005.04.022
Uterus preservation in surgical correction of urogenital prolapse
E. Costantini (2005)
10.1007/s00192-006-0264-x
Is the role of Burch colposuspension fading away in this epoch for treating female urinary incontinence?
Soocheen Ng (2006)
Laparoscopic Sacrocolpopexy or Sacrohysteropexy with or Without Burch Colposuspension: The Results of 36 Patients in Our Clinic
İ. Gümüş (2016)
10.1007/s00192-018-3668-5
Outcomes of stress urinary incontinence in women undergoing TOT versus Burch colposuspension with abdominal sacrocolpopexy
G. Lazarou (2018)
10.1097/01.gco.0000175355.48802.7b
The use of laparoscopic sacrocolpopexy in the management of pelvic organ prolapse
P. Gadonneix (2005)
10.2147/IJWH.S134239
Abdominal sacrocolpopexy with Pelvicol xenograft and concomitant Burch colposuspension
S. Hijazi (2017)
10.1016/J.JMIG.2007.02.003
The use of a xenogenic barrier to prevent mesh erosion with laparoscopic sacrocolpopexy.
J. Ross (2007)
10.1016/B978-84-458-1814-5.50015-1
15 – Operaciones retropúbicas en la incontinencia urinaria de esfuerzo
M. D. Walters (2008)
10.1016/J.AJOG.2004.09.131
Sacrocolpopexy for vault prolapse and rectocele: do concomitant Burch colposuspension and perineal mesh detachment affect the outcome?
K. Baessler (2005)
10.1016/S1636-5577(11)70719-2
Tecniche di trattamento chirurgico dei prolassi genitali per via addominale
J.-P. Lefranc (2011)
10.1111/j.1479-828X.2005.00459.x
Abdominal sacral colpopexy: an independent prospective long‐term follow‐up study
P. Higgs (2005)
10.1159/000102924
Re: Sacral Colpopexy with Concurrent Burch Colposuspension in Patients with Vaginal Vault Prolapse
E. Costantini (2007)
10.3349/ymj.2009.50.6.807
A Long-Term Treatment Outcome of Abdominal Sacrocolpopexy
M. J. Jeon (2009)
10.1007/s00192-008-0734-4
Is there any evidence to advocate SUI prevention in continent women undergoing prolapse repair? An overview
B. Fatton (2008)
10.1016/j.bpg.2009.04.011
Complex pelvic floor failure and associated problems.
S. Elneil (2009)
10.1016/j.ijgo.2010.08.017
Comparison of Burch colposuspension and transobturator tape when combined with abdominal sacrocolpopexy
Yeo-Jung Moon (2011)
10.1016/j.juro.2008.05.023
Burch colposuspension does not provide any additional benefit to pelvic organ prolapse repair in patients with urinary incontinence: a randomized surgical trial.
E. Costantini (2008)
10.3862/JCOLOPROCTOLOGY.58.266
Results of Transvaginal Repair for Rectocele-A Prospective Study-
M. Miyazaki (2005)
10.1016/S1761-3310(10)70008-6
Técnicas quirúrgicas para el tratamiento de los prolapsos genitales por vía abdominal
J.-P. Lefranc (2010)
10.1007/s00192-020-04306-4
Long-term outcomes after sacrocolpopexy with or without transobturator tape
Maria A. Lee (2020)
10.1155/2012/967923
Pelvic Organ Prolapse Repair with and without Concomitant Burch Colposuspension in Incontinent Women: A Randomised Controlled Trial with at Least 5-Year Followup
E. Costantini (2012)
Semantic Scholar Logo Some data provided by SemanticScholar