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This study compared the efficacy and perioperative outcomes of open Burch urethropexy and a robotic-assisted approach in the treatment of stress urinary incontinence (SUI) in women. The study included women who underwent either an open or robotic-assisted Burch urethropexy between 2011 and 2015. The researchers collected demographic and clinical data, as well as information on post-operative SUI symptoms and urinary distress. They also evaluated perioperative outcomes such as blood loss, operative time, adverse events, need for catheterization, length of stay, and the need for repeat SUI treatment within the first year.<br /><br />The results showed that the surgical approach did not have a significant effect on the resolution of SUI symptoms in the first year post-operatively. Rates of subjective incontinence post-op were consistent between the open and robotic Burch groups. The need for repeat SUI treatment was low in both groups, and adverse events were also low and similar between the groups. While estimated blood loss was different between the two groups, no patients required transfusion. The findings suggest that the surgical approach can be individualized to the patient and surgeon without sacrificing patient-centered outcomes.<br /><br />In conclusion, this study found that both open and robotic-assisted approaches to Burch urethropexy were effective in treating SUI in women. The choice of surgical approach did not significantly impact the resolution of SUI symptoms or the need for repeat treatment. The study supports the idea that the surgical approach can be tailored to the patient and surgeon's preferences without compromising outcomes.
Keywords
efficacy
perioperative outcomes
open Burch urethropexy
robotic-assisted approach
stress urinary incontinence
women
blood loss
operative time
adverse events
patient-centered outcomes
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