A 5‐year follow‐up study comparing Burch colposuspension and transobturator tape for the surgical treatment of stress urinary incontinence

Abstract Objective To compare the effectiveness of transobturator tape (TOT) and Burch colposuspension in the treatment of stress urinary incontinence (SUI). Methods The present retrospective study included 770 patients who underwent SUI surgery with Burch colposuspension (n = 498) or TOT (n = 272). Clinical follow-up occurred at 2 weeks, 3, 6, and 12 months, and annually thereafter. Objective and subjective cure rates and intra- and postoperative complications were assessed. Results Among patients who had SUI surgery without another concomitant procedure, the Burch group had a significantly longer mean operation time (41.48 ± 10.61 minutes versus 23.77 ± 10.49 minutes; P P P  = 0.007; urinary retention 10.7% versus 26.9%, P P  = 0.574; subjective cure rate, 76.8% versus 81.7%, P  = 0.416). Conclusion In terms of efficacy, TOT appears equal to Burch colposuspension; however, TOT has fewer unintended functional outcomes than Burch colposuspension.