Burch Retropubic Urethropexy Compared With Midurethral Sling With Concurrent Sacrocolpopexy: A Randomized Controlled Trial

No difference was found in overall continence between the midurethral sling and Burch urethropexy groups at 6-month follow-up when performed concurrently with sacrocolpopexy (51% sling vs 41% Burch, p

Effect: null; OR 1.49; CI: 95% CI 0.71-3.13

No statistically significant difference was found in stress-specific continence rates between the midurethral sling and Burch groups at 6 months (74% sling vs 57% Burch, p=0.06), though the direction

Effect: null; OR 2.10; CI: 95% CI 0.95-4.64

Women who had a midurethral sling were significantly more likely to report satisfaction (78% vs 57%, p=0.04) and to rate their surgery as very successful for SUI (71% vs 50%, p=0.04) compared to Burch

Effect: improvement; 78% vs 57%

Women who had a midurethral sling were significantly more likely to have resolution of preexisting urgency incontinence at 6 months than women who had a Burch procedure (72% vs 41%, p=0.03).

Effect: improvement; 72% vs 41%

No difference was found in the rate of serious adverse events between groups (9% Burch vs 11% sling, p=0.77), with most events related to the laparotomy rather than the anti-incontinence procedure. No

Effect: null; 9% vs 11%