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Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy: a survey of current practice patterns

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Abstract

Introduction

The purpose of this study was to determine the utilization of the prophylactic Burch procedure with abdominal sacrocolpopexy since the publication of the Colpopexy and Urinary Reduction Efforts (CARE) trial.

Methods

Using an Internet survey, 1,134 members of the American Urogynecological Society (AUGS) were contacted in May 2008 and questioned regarding their practice patterns to prevent de novo stress incontinence after sacrocolpopexy.

Results

Two hundred sixty-six responses were obtained for a 23% response rate. Of the 235 respondents actively performing sacrocolpopexies, 133 (57%) would not perform a prophylactic Burch colposuspension at the time of sacrocolpopexy in a woman without symptoms of stress urinary incontinence. Respondents were more likely to perform a prophylactic Burch if it had been more than 6 years since they completed residency or fellowship training.

Conclusions

Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy has not been uniformly implemented into clinical practice by AUGS members since the publication of the CARE Trial.

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Acknowledgements

This project was funded by the Department of Obstetrics and Gynecology, National Capital Consortium, National Naval Medical Center, Bethesda, MD, USA.

Conflicts of interest

None.

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Authors and Affiliations

  1. Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC, USA

    Matthew J. Aungst, Thaddeus D. Mamienski, Todd S. Albright, Christopher M. Zahn & John R. Fischer

  2. Division of Female Pelvic Medicine and Reconstructive Surgery, Walter Reed Army Medical Center, Building 2, Room 2J06, 6900 Georgia Avenue, Washington, DC, 20307, USA

    Matthew J. Aungst

Authors
  1. Matthew J. Aungst
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  2. Thaddeus D. Mamienski
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  3. Todd S. Albright
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  4. Christopher M. Zahn
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  5. John R. Fischer
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Corresponding author

Correspondence to Matthew J. Aungst.

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The views expressed in this material are those of the authors and do not reflect the official policy or position of the U.S. Government or the Department of Defense.

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Aungst, M.J., Mamienski, T.D., Albright, T.S. et al. Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy: a survey of current practice patterns. Int Urogynecol J 20, 897–904 (2009). https://doi.org/10.1007/s00192-009-0881-2

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  • DOI: https://doi.org/10.1007/s00192-009-0881-2

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