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Related Experiment Videos

The Burch procedure: a comprehensive review

M Dainer1, C D Hall, J Choe

  • 1Harbor/UCLA Medical Center, Torrance 90509, USA.

Obstetrical & Gynecological Survey
|January 19, 1999
PubMed
Summary
This summary is machine-generated.

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The open Burch procedure for stress urinary incontinence offers high long-term success rates, ranging from 61-100%. While complications like voiding dysfunction can occur, serious issues are rare, making it a reliable surgical option.

Area of Science:

  • Urogynecology
  • Surgical Procedures

Background:

  • Stress urinary incontinence (SUI) is a common condition affecting women.
  • The Burch procedure is a well-established surgical treatment for SUI.

Purpose of the Study:

  • To comprehensively review the open Burch procedure.
  • To detail operative techniques, modifications, complications, and success rates.

Main Methods:

  • Computerized MEDLINE database search for English-language articles.
  • Cross-referencing to identify additional relevant sources.
  • Review of selected articles focusing on technique, complications, and outcomes.

Main Results:

  • The open Burch procedure, largely unchanged since 1961, demonstrates long-term success rates of 61-100%.

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  • Common complications include voiding dysfunction (up to 41%), while severe sequelae are infrequent.
  • Success rates are comparable or superior to alternative incontinence procedures.
  • Conclusions:

    • The open Burch procedure remains an effective surgical option for stress urinary incontinence.
    • It offers durable outcomes with a manageable complication profile.
    • Its success rates support its continued use in managing SUI.