[Anatomo-surgical study of hemorrhagic risks in urethro-vesical Burch-type suspension]

The authors studied the topographical anatomy of the areas involved in urethro-vesical suspension, type Burch, in 25 female cadavers. They notice that, with the Burch procedure, the specific haemorrhagic risks are represented by lesions of the external iliac vein and sometimes lesions of the anastomosis between epigastric and obturator artery, which may be caused when the needle goes through the most lateral portion of Cooper's ligament, if this needle is directed upwards and outwards.