Laparoscopic Burch Colposuspension (Transperitoneal Approach)

Jin, Jung Yong; Seo, Ju Tae

Abstract

PURPOSE: The Burch bladder neck suspension is a effective treatment for stress urinary incontinence due to hypermobility. To assess the safety, effectiveness and potential benefits of the transperitoneal laparoscopic Burch colposuspension. MATERIALS AND METHOD: We assessed the short-term result of 15 patients who underwent a laparoscopic Burch colposuspension with transperitoneal approach. All patients had stress incontinence with bladder neck hypermobility and no cystocele and rectocele. The 14 patients had coexisting disorder(uterine myoma 11, ovarian cyst 2, carcinoma in situ 1), so concomitant operation was performed 14 cases(laparoscopic assisted vaginal hysterectomy 12, laparoscopic assisted ovarian cystectomy.
RESULTS
In 15 patient who underwent the laparoscopic procedure, continent in 11(73%), improved in 1 (6%) and failed in 3(20%) with mean follow-up of 14 months (range 6-18). The mean operation time was 81 minutes(range 70-120), mean postoperative hospital stay was 4.8 days(range 3-7).
CONCLUSIONS
Laparoscopic colposuspension with the transperitoneal approach is a reasonable alternative in treating stress urinary incontinence, especially when the patients have previous properitoneal or lower abdominal surgery or concomitant operation for coexisting disease. Early results are similar to those of open and needle suspension techniques, although longer follow-up is necessary to determine longterm efficiency.