The New England journal of medicine
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Editorial Comment
Homocysteine trials--clear outcomes for complex reasons.
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Randomized Controlled Trial Multicenter Study
Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence.
We designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic-organ prolapse decreases postoperative stress urinary incontinence in women without preoperative symptoms of stress incontinence. ⋯ In women without stress incontinence who are undergoing abdominal sacrocolpopexy for prolapse, Burch colposuspension significantly reduced postoperative symptoms of stress incontinence without increasing other lower urinary tract symptoms.