title: Laparoscopic Burch colposuspension for recurrent stress urinary incontinence.
abstract: OBJECTIVE
  To evaluate the effectiveness of laparoscopic Burch colposuspension in the treatment of recurrent stress urinary incontinence in women with previous vaginal or abdominal retropubic continence surgery.
  
  
  METHODS
  Retrospective analysis over 36 months (Canadian Task Force classification III).
  
  
  METHODS
  Community hospital.
  
  
  METHODS
  Thirty-three consecutive patients.
  
  
  METHODS
  Laparoscopic Burch colposuspension.
  
  
  RESULTS
  Data were obtained by retrospective chart review, telephone interviews, and follow-up physical examinations. Of the 33 patients, 17 (52%) had undergone open retropubic procedures (Burch or Marshall-Marchetti-Krantz), 11 (33%) had had vaginal retropubic needle suspension, and 5 (15%) pubovaginal sling operation. Additional laparoscopic and/or vaginal reconstructive surgery was completed in 32 women (97%) at time of laparoscopic Burch. Average overall operating time was 165 minutes (range 60-287 min), mean estimated blood loss was 178 ml (range 50-600 ml), and hospital stay was 1.1 days. Three intraoperative complications occurred, two cystotomies and one serosal bowel injury. Postoperative objective evaluation over average follow-up of 18.6 months revealed a 90% stress urinary incontinence cure rate.
  
  
  CONCLUSIONS
  Laparoscopic Burch colposuspension is safe and effective treatment of recurrent stress urinary incontinence in women who have undergone previous procedures for retropubic continence.
authors.affiliation: Department of Obstetrics, Northside Hospital, Atlanta, GA, USA.
authors.forename: R D
authors.initials: RD
authors.lastname: Moore
authors.forename: S E
authors.initials: SE
authors.lastname: Speights
authors.forename: J R
authors.initials: JR
authors.lastname: Miklos
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery