Comparison of Laparoscopic and Laparotomic Burch Colposuspension in the Treatment of Stress Urinary Incontinence

Objective: The aim of our study was to evaluate patients who underwent burch colposuspension due to stress-type urinary incontinence (SUI) in terms of laparoscopic and laparotomy approaches. Materials and Methods: 74 patients aged 40-70 years who were admittted to our hospital with symptoms of SUI between 2017 and 2024, who underwent surgical treatment for SUI, and who met the inclusion criteria were included. Women included in the study were divided into two groups as those who received laparotomy (L/T) and laparoscopic (L/S) burch colposuspension. To assess the impact of SUI on quality of life, several quality of life questionnaires, such as the urinary distress inventory (UDI-6), the incontinence impact questionnaire (IIQ-7), physical component summary (PCS), and mental component summary (MCS), were evaluated. Results: The operation time and estimated blood loss in the L/S-Burch colposuspension group was significantly lower than in the L/T-Burch colposuspension group (p< 0.001 and p< 0.001, respectively). The 6th and 48th hour VAS score in L/S-Burch colposuspension group was found to be significantly lower than in the L/T-Burch colposuspension group (p< 0.001 and p< 0.001, respectively). There was a significant decrease in UDI-6 and IIQ-7 score in patients who underwent L/S-Burch colposuspension and L/T-Burch colposuspension in the 6th-month follow-up (p< 0.001 and p< 0.001, respectively). At the 6th-month follow-up, SF-36 MCS score was significantly lower in the L/S-Burch colposuspension group compared with the L/T-Burch colposuspension group (p=0.014). Conclusion: In our study, the results of burch colposuspension methods are consistent with the literature. L/S-burch colposuspension is superior in terms of operation time, blood losss, hospital stay, pain management and recovery time. The significant decrease in UDI-6 and IIQ-7 scores at 6-month follow-up shows that both methods provide improvement in urinary incontinence symptoms and increase quality of life.