Long-term results of Burch colposuspension

Background: We aimed to determine the long-term results of Burch colposuspe nsion. Methods: Patients who had undergone Burch colposuspension due to stress uri nary incontinence (SUI) in our department between 1991 and 1995 were asked to participate in the study by telephone or mail. Fifty of 78 patients (64% ) responded and these formed the study group. Patients were evaluated by a detailed questionnaire, pelvic examination, uroflowmetry and postvoid resid ual urine determination. Provocative stress test and urodynamic evaluations were performed in those who claimed leakage. Additionally, follow-up chart s were retrospectively reviewed from the patients' fries. Results: Mean follow-up time was 50.6 months. The subjective cure rate was 52% and the surgical success rate was 84%. The patient satisfaction rate in terms of incontinence was 86%. No correlation was found between pre-operat ive patient characteristics (i.e. age, number of vaginal deliveries and pre gnancies, menopause, previous anti-incontinence surgery and presence of det rusor instability) and outcome of surgery. Although no patient was performi ng clean intermittent catheterization in the long term, two patients had si gnificant residual urine and obstructive flows. Three patients had severe p elvic prolapse that required surgical correction. Conclusions: Our results indicate that Burch colposuspension operation is a n effective and durable choice of treatment, with low complication rates fo r the treatment of SUI.