The management of recurrent cases after the Burch colposuspension: 7 years experience.

Objective: We aimed to discuss our approach to the failure cases whose primary surgery was Burch colposuspension.

Methods: Total cases who underwent Burch colposuspension was 298, however, 36 cases lost follow-up therefore the study population was 262 cases. Forty-two patients having recurrent stress urinary incontinence (16.0%) after Burch procedure enrolled for the study. Twenty-nine of the recurrent cases were treated with mid-urethral slings tension-free vaginal tape or transobturator tape (TOT) as a secondary procedure, whereas thirteen of the recurrent cases preferred to take medical therapy. Seven of the failed patients after the repeat surgery accepted TOT as a tertiary procedure.

Results: The cumulative cure rates after the secondary and tertiary interventions were 62.1 and 57.1%, respectively. No complications were noticed during the secondary and tertiary surgical interventions.

Conclusions: Our study showed that suburethral sling surgery can be an effective choice for the treatment of recurrent cases after Burch colposuspension.