Things go better with Burch
CARE trial: Burch colposuspension at the time of prolapse surgery improves postop urinary control
IN THIS ARTICLE
BRUBAKER: Any and all high-quality, well-designed trial can improve our care of women with incontinence and/or prolapse.
WALTERS: I look forward to the follow-up studies from the CARE trial on the value of paravaginal defect repair, preoperative urodynamic testing, and the efficacy of various prolapse-reduction maneuvers in predicting surgical outcomes.
It would also seem logical to repeat this type of study using transvaginal prolapse repair with or without a prophylactic midurethral sling. Another option: anterior colporrhaphy with suburethral plication versus a prophylactic midurethral sling.
KOHLI: I look forward to data on surgical procedures currently being performed with greater frequency despite a lack of good-quality data. These include the transobturator suburethral midurethral sling procedures, laparoscopic sacrocolpopexy, and vaginal mesh augmentation for prolapse.
The Pelvic Floor Disorders Network affords a unique opportunity to perform well-designed multicenter trials to address the rapidly changing landscape of surgical treatment for prolapse and incontinence.
