Burch Laparoscopic Procedure for Repairing Proven Stress Incontinence
Moshe Bustan, Shabtai Romano, Raed Salim, Jacob Rosenman, Eliezer Shalev
Depts. of Obstetric and Gynecology and of Urology, HaEmek Medical Center, Afula
There are more than 200 procedures for repairing stress urinary incontinence. We evaluated the safety and efficiency of the Burch laparoscopic procedure in 32 women with urodynamically proven genuine stress incontinence.
Mean operating time was 40 minutes and mean hospitalization time after the procedure was 30 hours. The cure rate was 97%, similar to that rin other studies (80-95%). The major complications w2 cases (6.2%) of unintended bladder injury, diagnosed and repaired laparoscopically. Although follow-up has only been for 3-42 months, the high cure rate and safety and advantages of laparoscopy over laparotomy, make laparoscopic Burch colposuspension the procedure of choice for repairing stress incontinence.