Related Experiment Videos
Laparoscopic bladder neck suspension
C Papasakelariou1, B Papasakelariou
1Department of Obstetrics, Gynecology and Reproductive Sciences, St. Joseph Hospital, Houston, Texas, USA.
Study Objective:
To determine the results of transperitoneal laparoscopic bladder neck suspension.
Design:
Prospective observational study.
Setting:
A university-affiliated hospital.
Patients:
Thirty-two consecutive women with the diagnosis of genuine stress incontinence and hypermobile proximal urethra and bladder neck.
Interventions:
Laparoscopic transperitoneal bladder neck suspension (Burch procedure) in combination with laparoscopic-assisted vaginal hysterectomy or other procedures.
Measurements And Main Results:
Success was defined as lack of leakage of urine, negative Q-Tip test, and good voiding control without need for drugs 6 weeks postoperatively. Over a minimum follow-up of 24 months, the procedure yielded satisfactory urethrovesical support in all patients and an overall success rate of 90.6%.
Conclusions:
Laparoscopic transperitoneal bladder neck suspension (Burch procedure) is an excellent endoscopic technique for the surgical treatment of genuine stress incontinence, although it awaits the test of time.