Laparoscopic bladder neck suspension.
OBJECTIVE
To determine the results of transperitoneal laparoscopic bladder neck suspension.


METHODS
Prospective observational study.


METHODS
A university-affiliated hospital.


METHODS
Thirty-two consecutive women with the diagnosis of genuine stress incontinence and hypermobile proximal urethra and bladder neck.


METHODS
Laparoscopic transperitoneal bladder neck suspension (Burch procedure) in combination with laparoscopic-assisted vaginal hysterectomy or other procedures.


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.
Papasakelariou
C
C
Department of Obstetrics, Gynecology and Reproductive Sciences, St. Joseph Hospital, Houston, Texas, USA.
Papasakelariou
B
B
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019370:Observation; D011446:Prospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*