Burch colposuspension is used to treat stress urinary incontinence (SUI). Stress urinary incontinence is the involuntary leakage of urine during periods of increased intra-abdominal pressure, including exertion such as laughing, coughing, sneezing, coughing, and jumping.
Laparoscopic Burch colposuspension is the procedure of choice in women undergoing pelvic-floor repair and concomitant retropubic surgery, and in young women, because it avoids the potential complications of mesh.
The laparoscopic surgery is identical to the open approach except the incisions in the abdomen are different. In the open surgery a low horizontal incision is made in the lower pelvis approximately 10-15 cm in size, compared to three incisions of 5 mm is only made in laparoscopic surgery. At surgery the bladder outlet is re- supported by 3 permanent sutures suspending the vagina from the ligaments on the pubic bone.
A cystoscopy is performed at the end of the surgery to ensure no damage has occurred to the lower urinary tract. The small skin incisions are closed with an absorbable suture that does not require removing. Surgery will be covered with antibiotics to decrease the risk of infection and blood-thinning agents will be used to decrease the risk of clots forming in the postoperative phase.
You can watch the Laparoscopic Burch colposuspension performed by Dr. Mala Raj in this video.
