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Long-Term Results of Laparoscopic Burch
1Gynecologic Endoscopy, University of Tennessee College of Medicine, 979 E. Third Street, Suite 2000, Chattanooga, TN 37403.
With recent advances in endoscopic surgery, suturing techniques, and balloon technology, laparoscopic Burch procedure with an extraperitoneal approach is a feasible alternative for the treatment of urinary stress incontinence (USI). Of 35 consecutive women (average age 47 yrs, average weight 193 lbs) undergoing laparoscopic Burch, 29 had genuine USI and 7 mixed incontinence with marked stress component. Average length of hospital stay was 2.4 days (range 1-10 days) and return to normal bladder function 5 days (range 2-8 days). The success rate, defined as dry at all times, was 90%, and 10% of women reported that they were much improved. Average follow-up was 20 months (range 4-38 mo). These results compare very favorably with findings published for conventional Burch.
With recent advances in endoscopic surgery, suturing techniques, and balloon technology, laparoscopic Burch procedure with an extraperitoneal approach is a feasible alternative for the treatment of urinary stress incontinence (USI). Of 35 consecutive women (average age 47 yrs, average weight 193 lbs) undergoing laparoscopic Burch, 29 had genuine USI and 7 mixed incontinence with marked stress component. Average length of hospital stay was 2.4 days (range 1-10 days) and return to normal bladder function 5 days (range 2-8 days). The success rate, defined as dry at all times, was 90%, and 10% of women reported that they were much improved. Average follow-up was 20 months (range 4-38 mo). These results compare very favorably with findings published for conventional Burch.