Laparoscopic Burch Colposuspension VersusTransobturator Tape Placement in Stress UrinaryIncontinence at Kathmandu Model Hospital

Abstract

Introduction: Stress urinary incontinence is the involuntary leakage of urine due to increased intra-abdominal pressure. The pathological causes include urethral hypermobility and weakness of intrinsic urethral sphincter. Laparoscopic Burchcolposuspension is the valuable meshless alternative to transobturator tape placement and now is the current gold standard treatment for stress urinary incontinence. This study aimed to determine the efficacy of laparoscopic Burch colposuspension and transobturator tape placement in stress urinary incontinence.

Methods: A retrospective study was carried out at the department of Obstetrics and Gynaecology at Kathmandu Model Hospital Institute of Health Sciences during the period of two year from December 2022 to November 2024 among all patients with stress urinary incontinence undergoing transobturator tape placement and laparoscopic Burchcolposuspension.

Results: Majority of the patients belonged to age group 40-50 years in both laparoscopic Burch colposuspension (58.5%) and transobturator tape (60%) groups. Majority of the patients were multiparous which was 90.2% in laparoscopic Burch colposuspension and 95%in transobturator tape groups. Majority of the patients were postmenopausal in both groups. Total blood loss was minimal in both groups. The success rate was 90.2% in laparoscopic Burch colposuspension and 95% in transobturator tape placement.

Conclusion: Laparoscopic Burch colposuspension is safe and effective long-term treatment for patients with stress incontinence with low failure rates and minimal adverse outcomes. It has favorable outcome in terms of continence, cost, intraoperative and postoperative complications.