Laparoscopic Burch colposuspension for stress incontinence: preliminary results

Abstract

ObjectiveTo assess the safety, effectiveness and potential benefits of laparoscopic Burch colposuspension. DesignNon‐randomised prospective study. SubjectsFifteen women, presenting consecutively with uro‐dynamically confirmed urinary stress incontinence. ResultsThe operation was successfully completed with no perioperative morbidity in 14 women. One woman subsequently underwent laparotomy after injury to the inferior epigastric artery. The average duration of surgery was 110 minutes, postoperative catheter‐isation 30 hours, and hospital stay 2.3 days. There was little postoperative discomfort. Most women were able to return to normal activities within one to two weeks. At follow‐up (6 weeks‐9 months) all the women were continent. ConclusionLaparoscopic Burch colposuspension is a safe and feasible alternative to the open technique. Early results show the benefits of easy access to the cave of Retzius, a clear view of the operating field, minimal intraoperative blood loss, shortened postoperative catheterisation and hospitalisation times, little postoperative pain and early return to normal lifestyle.

Laparoscopic colposuspension Is it cost-effective?

“…In addition, this approach has shown no rise in the complication rate [2,27,28,30,31,33,40]. Before embracing this procedure, however, it is important to assess the cost implications.…”

“…Since 1992 this particular operation has been routinely performed laparoscopically by one of the surgeons at Strathfield Private Hospital. In an earlier paper this surgeon reported upon the advantages of the laparoscopic approach: easier access, improved magnified view, minimal intraoperative blood loss, shorter length of stay, and earlier return to normal lifestyle [27]. Other reports in the literature have also proven laparoscopic colposuspension to have similar advantages [2,31,33,40].…”

Laparoscopic colposuspension using mesh reinforcement

“…Applying laparoscopic technique to the surgical solutions for stress urinary incontinence has, as with its other applications, reduced tissue trauma, helped eliminate the pain related to wound healing, and decreased the time required for hospitalization and recovery [6,7]. To evaluate the clinical effect of laparoscopic Burch colposuspension, we report here our experience with 54 patients with stress urinary incontinence who were treated with the laparoscopic Burch procedure and the use of mesh reinforcement.…”

Laparoscopic colposuspension versus vaginal suburethral slingplasty: A randomised prospective trial

“…[8][9][10][11][12][13][14] A review of 113 LCs, by Cooper et al (1996), 15 found a subjective success rate of 87%. However, the mean duration of follow up was only 8.4 months.…”