Abstract
We present an original laparoscopic technique for treatment of stress urinary incontinence in women equivalent to the classical open approach described by Burch. This technique is particularly interesting because a wide pneumoretzius allows adequate access without being hindered by intestinal loops or the free border of the bladder. Suspension is achieved with nonabsorbable mesh bands stapled to the vagina and Cooper's ligaments. Seventy nine operations were performed at the Department of Gynecology of the University Hospital of Caen, France, between 1992 and 1995. The cure rate of the first 37 procedures (with a 18–42-month-long follow-up) is 86%. Of the patients, 22% had low closure pressure and 19% had an unstable bladder. No laparotomy had to be performed.
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Albala DM, Schuessler WW, Vancaillie TG (1992) Laparoscopic bladder suspension for treatment of stress incontinence. Sem Urol X:4(Nov): 222–226
Burch JC (1961) Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele and prolapse. Surg Gynecol Obstet 81: 281–290
Eriksen BC, Hagen B, Eik-Nes SH, Molne K, Mjolnerod OK, Romslo I, (1990) Long term effectiveness of the Burch colposuspension in female urinary stress incontinence. Acta Obstet Gynecol Scand 69: 45–50
Ferriani RA, Silva de Sa MF, Dias de Moura M, Charaffedine MN (1990) Ureteral blockage as a complication of Burch colposuspension: report of 6 cases. Gynecol Obstet Invest 29: 239–240
Guerinoni L, Treisser A, Klein P, Renaud R (1991) Resultats fonctionnels et urodynamiques de la colpopexie selon Burch. A propos d'une série de 173 cas. J Gynecol Obstet Biol Reprod 20: 231–240
Kimche D, Lask D (1982) Diagnostic et traitement chirurgical de l'incontinence urinaire d'effort chez la femme. J Urol Paris 88(6): 385–388
Lalos O, Berglund A, Bjerle P (1993) Urodynamics in women with stress incontinence before and after surgery. Eur J Obstet Gynecol Reprod Biol 48: 197–205
Lockhart JL, Vorstman B, Politano VA (1984) Anti-incontinence surgery in females with detrusor instability. Neurourol Urodynam 3: 201–203
Milani R, Scalambrino S, Quadri G, Algeri M, Marchesin R (1985) Marshall-Marchetti-Krantz procedure and Burch colposuspension in the surgical treatment of female urinary incontinence. Br J Obstet Gynaecol 92: 1050–1053
Ou CS, Presthus J, Beadle E (1993) Laparoscopic bladder neck suspension using hernia mesh and surgical staples. J Laparoendosc Surg 3(6): 563–566
Pigne A, Keskes J, Maghioracos P, Boyer F, Marpeau L, Barrat J (1988) Resultats cliniques et urodynamiques de la colposuspension type “Burch” dans le traitement de l'incontinence urinaire d'effort féminine. J Gynecol Obstet Biol Reprod 17: 922–930
Rosenzweig BA, Bhatia NN, Nelson AL (1991) Dynamic urethral pressure profilometry pressure transmission ratio: what do the numbers really mean? Obstet Gynecol 77: 586–590
Stanton SL, Williams JE, Ritchie D, Allan V (1978) Clinical and urodynamic features of failed incontinence surgery in the female. Obstet Gynecol 51: 515–520
Stanton SL, Cardozo LD (1979) Results of the colposuspension operation for incontinence and prolaps. Br J Obstet Gynaecol 86: 693–697
Van Geelen JM, Theeuwes AGM, Eskes TKAB, Martin CB (1988) The clinical and urodynamic effects of anterior vaginal repair and Burch colposuspension. Am J Obstet Gynecol 159: 137–144
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von Theobald, P., Guillaumin, D. & Lévy, G. Laparoscopic preperitoneal colposuspension for stress incontinence in women. Surg Endosc 9, 1189–1192 (1995). https://doi.org/10.1007/BF00210925
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DOI: https://doi.org/10.1007/BF00210925