Burch Colposuspension

Ericka M Sohlberg; Christopher S Elliott

doi:10.1016/j.ucl.2018.08.002

Burch Colposuspension

Urol Clin North Am. 2019 Feb;46(1):53-59. doi: 10.1016/j.ucl.2018.08.002.

Authors

Ericka M Sohlberg¹, Christopher S Elliott²

Affiliations

¹ Department of Urology, Stanford University, 300 Pasteur Drive, Grant Building S285, Stanford, CA 94304, USA.
² Department of Urology, Stanford University, 300 Pasteur Drive, Grant Building S285, Stanford, CA 94304, USA; Division of Urology, Santa Clara Valley Medical Center, Valley Specialties Clinic, 751 South Bascom Avenue, 4th Floor, San Jose, CA 95128, USA. Electronic address: chrsuz@aol.com.

PMID: 30466702
DOI: 10.1016/j.ucl.2018.08.002

Abstract

The Burch colposuspension has a 50-plus year history demonstrating strong long-term outcomes with minimal complications. Iterations of the procedure, including laparoscopic, robotic, and mini-incisional approaches, appear to have equal efficacy to the open procedure. Although the current use of the Burch colposuspension has waned with the growing shift toward sling surgery, it continues to have a role in the treatment of stress urinary incontinence. Specifically, a Burch procedure should be considered when vaginal access is limited, concurrent intra-abdominal surgery is planned, or mesh is contraindicated.

Keywords: Burch; Colposuspension; Urethropexy.

Publication types

Review

MeSH terms

Female
Humans
Laparoscopy / methods*
Urinary Incontinence, Stress / surgery*
Urologic Surgical Procedures / methods*