Burch Procedure (Urinary Stress Incontinence)

Cause / Condition
Urinary continence depends on strong bladder and pelvic support. When small amounts of urine escape during activities such as laughing, coughing, sports, etc., it is defined as urinary stress incontinence. This is due to weakness of pelvic support which is often (not always) associated with childbirth. A feeling of "something falling out" or prolapse may also be related to leaking urine.

About the Procedure
The surgeon makes 3 to 4 small ¼" incisions to allow insertion of a laparoscope and other precise instruments designed for the repair. The lower bladder is supported by suturing the vagina to the pelvic ligaments. Because the bladder no longer moves down during stress activity, urine does not escape and the pelvic weakness is corrected.

Recovery
A laparoscopic Burch procedure is generally a one day hospital stay, postoperatively. Patients are monitored closely for return of bladder function. Because no major muscle groups are cut, there is less trauma and therefore less need for strong pain medication. Patients return to their normal activities/work within 1-2 weeks.

Expectations / Experience
Incisional site tenderness can be expected but it is temporary. Some patients will also require medication and exercise.

Demonstrated high success rates (95%+) have continued since 1991 when Drs. Charles Koh and Grace Janik began performing the procedure laparoscopically. Additional information on medical management, biofeedback and exercise is also available on their website www.reproductivecenter.com.

Factor Traditional Laparoscopic
Hospital Stay 5-7 days 1-2 days
Pain during recovery Moderate Minimal
Return to work timeframe 4-5 weeks 1-2 weeks
Cosmetic results 5" scar 3-4 tiny incisions

For more information contact:

The Milwaukee Institute of Minimally Invasive Surgery
Columbia St. Mary's Hospital Milwaukee
2301 N. Lake Dr.
Milwaukee, WI 53211

(800) 377-2673

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