Comparative study of two techniques of laparoscopic burch colposuspension using sutures versus mesh in women with genuine stress urinary incontinence

ABSTRACT

Background

To compare the effectiveness and safety of laparoscopic colposuspension using sutures (LCS) versus mesh and staples (LCM) in the treatment of female stress urinary incontinence.

Methods

This randomized study was conducted over a total of 80 women with genuine stress urinary incontinence between January 2020 and April 2022. Women were randomly assigned to the LCS group (n = 40) or the LCM group (n = 40). They underwent objective evaluations, including a standardized stress test, a 24-hour pad test, and a frequency-volume chart. Subjective assessments were made using a quality-of-life questionnaire.

Results

The LCS group exhibited superior outcomes in PAD test improvement (from 147 [31–304] to 3 [0–300] at 1 year, p < 0.001), stress test scores (from 82 [11–153] to 1 [0–124] at 1 year, p < 0.001), and mean micturated volume (increase from 294 ± 65 to 321 ± 57 at 1 year, p = 0.037) compared to the LCM group. Urodynamic findings revealed a higher Maximum Urethral Closure Pressure in the LCS group (33.1 ± 6.9) versus the LCM group (28.3 ± 6.4, p = 0.002). Quality of life improvements were significantly better in the LCS group across various domains. However, the LCM group benefitted from shorter surgery duration, hospital stays, and bladder drainage duration.

Conclusion

LCS demonstrates significant advantages over LCM in treating female stress urinary incontinence, particularly in cure rates and quality of life improvements. Despite the operational benefits of LCM in terms of reduced surgery and recovery times, LCS offers superior therapeutic outcomes.

KEYWORDS:

• Laparoscopic Burch Colposuspension
• stress urinary incontinence
• sutures
• mesh
• urodynamic analysis
• quality of life

Disclosure statement

No potential conflict of interest was reported by the author(s).

Author’s contribution

BE : design of the work, interpretation of data, the acquisition, analysis, original draft, substantively revised Manuscript

HS : Data collection, Manuscript writing

SM : Supervision, Data analysis, Manuscript Review.

AM : design of the work, Visualization, Supervision,Validation.

AA: Methodology, interpretation of data, Manuscript writing

−All authors have read and approved the munuscript

Availability of data and material

The datasets used and analyzed for the current work are available upon reasonable request from the corresponding author.

Consent for publication

All authors approve the manuscript and give their consent for submission and publication.

Ethical approval and consent to participate

The current research followed the declaration of Helsinki ‎for studies involving humans, and the Benha ‎University ethics committee approved it (MD; 07.8.2020). All patients gave written consent before participation.

List of abbreviations

FUL	=	functional urethral length.
F/V	=	frequency-volume.
LC	=	laparoscopic colposuspension.
LCM	=	laparoscopic colposuspension utilizing mesh and staples.
LCS	=	laparoscopic colposuspension using sutures
MUCP	=	maximal urethral closure pressure.
OC	=	open colposuspension Burch method.
SUI	=	stress urinary incontinence.
VAS	=	visual analog scale.

Supplementary material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/20905998.2024.2321739

Additional information

Funding

There are none to be declared.