BURCH Colposuspension or Transobturatuar Tape (TOT)

Study Overview
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Brief Summary
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Stress urinary incontinence surgery combined with hysterectomy can often be applied to patients in the same session. The aim of this study was to determine which urinary incontinence surgery would be a better option for patients who would have hysterectomy. The aim of this study was to retrospectively review the data of 69 patients between the ages of 2014 and 2017 who underwent total laparoscopic hysterectomy and anti-incontinence surgery (TOT and Burch) for benign indications (uterine pathology) and stress urinary incontinence (SUI). In addition to demographic data and preoperative examination findings, operative times, postoperative hemogram values, postvoiding residual amounts and complications were examined. In addition, FSI test results of women with sexual activity were compared with ICIQ-UI and UDI-6 interrogations related to urinary incontinence.

Official Title
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Which Anti-İncontinence Surgery Option is Better in Patients With Total Laparoscopic Hysterectomy? BURCH Colposuspension or Transobturatuar Tape (TOT)

Conditions
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Incontinence

Intervention / Treatment
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* Procedure: BURCH Colposuspension
* Procedure: TOT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: tlh operation with benign reasons and planned, concurrent stress describing urinary incontinence, Women between the ages of 40-65 Exclusion Criteria: planned operation with malignant causes, urinary tract infection, medication area for incontinence

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| TLH with BURCH Colposuspension<br>the patients who underwent simultaneous burch copying with TLH was evaluated. In addition to demographic data and preoperative examination findings, operative times, postoperative hemogram values, postvoiding residual amounts and complications were examined. In addition, FSI test results of women with sexual activity were compared with ICIQ-UI and UDI-6 interrogations related to urinary incontinence. | Procedure: BURCH Colposuspension<br>* stress urinary incontinence surgery ( burch or tot)<br>|
| TLH with Transobturatuar Tape (TOT)<br>In cases of simultaneous toting with TLH; In addition to demographic data and preoperative examination findings, operative times, postoperative hemogram values, postvoiding residual amounts and complications were examined. In addition, FSI test results of women with sexual activity were compared with ICIQ-UI and UDI-6 interrogations related to urinary incontinence. | Procedure: TOT<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| operation time | The duration of the procedure for stress urinary incontinence surgery was evaluated. recorded in minutes. | 2 years | 
| postoperative hemogram values | postoperative hemogram values were evaluated. Recorded in g / dl. | 2 years | 
| postvoiding residues | postvoiding residues were measured. Recorded in ml. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hysterectomy, anti-incontinence surgery, Burch, Tot, stress incontinence