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The Ball-Burch procedure for stress incontinence with low urethral pressure
A Bergman1, P P Koonings, C A Ballard
1Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles 90033.
Abstract:
Up to a 50% failure rate may be expected when genuine stress incontinence with low urethral pressure is treated with routine urethropexy. A combination of Ball and Burch procedures has been suggested as an acceptable alternative to a sling procedure for the condition. In this study, 18 women undergoing a Burch procedure and 48 undergoing a Ball-Burch procedure were available for follow-up urodynamic evaluation. The one-year objective failure rate of the Burch procedure was 38%, and that of the Ball-Burch procedure was 10%, for a statistically significant difference (P less than .05). The Ball-Burch procedure appears to be an effective means of curing women of genuine stress incontinence with low urethral pressure.