{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:26:58Z","timestamp":1792366018249,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T00:00:00Z","timestamp":1568246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The negative media attention surrounding vaginal mesh procedures has seen a rise in demand for minimally invasive non\u2010mesh options for the treatment of stress urinary incontinence (<jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>). The laparoscopic Burch colposuspension (<jats:styled-content style=\"fixed-case\">LBC<\/jats:styled-content>) is a non\u2010mesh alternative to synthetic midurethral slings (<jats:styled-content style=\"fixed-case\">MUS<\/jats:styled-content>) with similar short\u2010term outcomes. However, long\u2010term outcomes are not well established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the long\u2010term outcomes of <jats:styled-content style=\"fixed-case\">LBC<\/jats:styled-content> for treatment of <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content> in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>One hundred and fifty\u2010one cases of <jats:styled-content style=\"fixed-case\">LBC<\/jats:styled-content> were performed by a single surgeon over two private hospital settings between January 2010 and January 2016. Follow\u2010up subjective outcomes were obtained in 137 cases (90.7%) utilising standardised questionnaires. Primary outcome was successful treatment of <jats:styled-content style=\"fixed-case\">SUI<\/jats:styled-content>, defined as subjective cure or significant improvement of stress incontinence symptoms. Secondary outcomes included new\u2010onset or worsened symptoms of overactive bladder (<jats:styled-content style=\"fixed-case\">OAB<\/jats:styled-content>), voiding dysfunction, prolapse, and perioperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and thirty\u2010seven patients were analysed with a mean follow\u2010up of 50.6\u00a0months (range: 13\u201389\u00a0months). Primary outcome of successful treatment was achieved in 90.5% of women. New\u2010onset or worsened symptoms of <jats:styled-content style=\"fixed-case\">OAB<\/jats:styled-content> was reported in 10.2%, with a further 8.8% of women experiencing symptomatic voiding dysfunction. Sixteen patients (11.7%) reported new\u2010onset or worsening symptoms of prolapse. There were no major surgical complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>LBC is a safe and effective long\u2010term treatment for SUI, with low failure rates and minimal adverse outcomes. It is a suitable alternative for women with contraindications to mesh or those having concomitant laparoscopic procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13048","type":"journal-article","created":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T22:45:22Z","timestamp":1568328322000},"page":"850-855","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Long\u2010term patient\u2010reported outcomes after laparoscopic Burch colposuspension"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4682-5182","authenticated-orcid":false,"given":"Dean H.","family":"Conrad","sequence":"first","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefaan","family":"Pacquee","sequence":"additional","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal D.","family":"Saar","sequence":"additional","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Walsh","sequence":"additional","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Chou","sequence":"additional","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Rosen","sequence":"additional","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory M.","family":"Cario","sequence":"additional","affiliation":[{"name":"Sydney Women's Endosurgery Centre (SWEC) St George Private Hospital Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,12]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0976-9"},{"key":"e_1_2_5_3_1","volume-title":"Incontinence in Australia. 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