Anterior colporrhaphy with kelly plication sutures versus modified Burch colposuspension for treatment of genuine stress urinary incontinence and pelvic relaxation

Sixty two female patients with genuine stress urinary incontinence associated with genital prolapse were included in this study. Patients underwent single stage procedure for treatment of both incontinence and prolapse. Two types of operations were done anterior colporrhaphy with Kelly plication sutures [32 cases], and modified Burch colposuspension [30 cases]. Clinical and urodynamic evaluation were done preoperatively and repeated 1 year after surgery. The modified Burch operation produced significantly higher cure rate from stress incontinence [83.3%] compared to Kelly plication sutures [59.3%], P <0.05. Both procedures resulted in significant increase in the urethral pressure when treatment was successful. Suprapubic operation was not associated with increased postoperative voiding problems. It was concluded that modified Burch operation is more effective in treatment of stress incontinence and should be the primary operation of choice unless the patient's poor general condition necessitates less time consuming procedure