Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy: A survey of current practice patterns

Matthew J. Aungst, Thaddeus D. Mamienski, Todd S. Albright, Christopher M. Zahn, John R. Fischer

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9 Scopus citations

Abstract

Introduction: The purpose of this study was to determine the utilization of the prophylactic Burch procedure with abdominal sacrocolpopexy since the publication of the Colpopexy and Urinary Reduction Efforts (CARE) trial. Methods: Using an Internet survey, 1,134 members of the AmericanUrogynecological Society (AUGS) were contacted in May 2008 and questioned regarding their practice patterns to prevent de novo stress incontinence after sacrocolpopexy. Results: Two hundred sixty-six responses were obtained for a 23% response rate. Of the 235 respondents actively performing sacrocolpopexies, 133 (57%) would not perform a prophylactic Burch colposuspension at the time of sacrocolpopexy in a woman without symptoms of stress urinary incontinence. Respondents were more likely to perform a prophylactic Burch if it had been more than 6 years since they completed residency or fellowship training. Conclusions: Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy has not been uniformly implemented into clinical practice by AUGS members since the publication of the CARE Trial.

Original languageEnglish (US)
Pages (from-to)897-904
Number of pages8
JournalInternational Urogynecology Journal
Volume20
Issue number8
DOIs
StatePublished - Aug 2009

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Keywords

  • Occult incontinence
  • Sacrocolpopexy
  • Survey
  • Urogenital surgical procedures/methods

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