Comparision of Burch colposuspension and colporraphy anterior-Kelly plication operations for effectiveness and influence on life quality.

OBJECTIVE: Our aim was to compare the effectivenesses and influences on life quality rates of patients who underwent Burch Colposuspension or Colporaphy Anterior-Kelly Plication for the surgical treatment of stress urinary incontinence (SUI). MATERIALS AND METHODS: 81 patients who applied to Izmir Ataturk Training and Research Hospital 3rd Obstetrics and Gynecology Department between the dates of January 2006 and June 2007 with complaints of urinary leakage and were diagnosed as SUI were included to our study. 41 patients (50.6%) underwent Burch colposuspension and ColporaphyAnterior-Kelly Plication were applied to 40 patients (49.4%). Patients were reexamined after 6 months following discharge in terms of complications, stress test, patient complaints and life quality scores. RESULTS: The mean age of patients as well as the number of postmenauposal ones who underwent Colporaphy Anterior-Kelly Plication was significantly higher (p 0.05). Also the differences for the 6th month postoperative stres test results were statistically insignificant (p > 0.05). Life Quality Inqury results differences were statistically insignificant (p > 0.05). Preoperative and postoperative scores of the patients were compared and convalescence was detected. This convalescence was statistically significant for each three tests (p < 0.05). DISCUSSION: In this study the success rates were 87.8% for the Burch procedure and 75% for Colporaphy Anterior-Kelly Plication. all of the patients had benefited from both operations according to life quality inquries. Besides the fact that the Burch procedure is the gold standart for SUI Colporaphy Anterior-Kelly plication might be chosen for the older patients with pelvic organ prolapse (POP). There were no significant differences in terms of complications. The results of our study were consistent with those of other publications. Currently Burch operation is the gold standard treatment modality for SUI. Use of life quality inquries proved to be useful in patients' convalescence follow-up.