AUA: Pubovaginal Sling Tops Burch Colposuspension for Stress Incontinence

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ANAHEIM -- The pubovaginal sling fashioned from autologous fascia outperformed Burch colposuspension for stress urinary incontinence but at a cost of a higher rate of adverse events.

ANAHEIM, May 22 -- The pubovaginal sling fashioned from autologous fascia outperformed Burch colposuspension for stress urinary incontinence but at a cost of a higher rate of adverse events.

Two years after surgery, the overall success rate was 47% for sling procedures and 38% for Burch colposuspension (P=0.01). Stress-specific success rates were 66% with slings and 49% for Burch procedures (P

The distribution of time to return of normal voiding differed significantly and favored Burch colposuspension (P

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