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Chapter-28 Laparoscopic Paravaginal Repair and Burch Urethropexy

BOOK TITLE: State of the Art Atlas of Endoscopic Surgery in Infertility and Gynecology

Author
1. Moore Robert D
2. Miklos John R
3. Kohli Neeraj
ISBN
9788184489903
DOI
10.5005/jp/books/11190_28
Edition
2/e
Publishing Year
2010
Pages
10
Author Affiliations
1. Old Milton Pkwy Ste C330 Alpharetta, GA 30005-3745 USA, Co-Director Urogynecology, Atlanta Center for Laparoscopic Urogynecology, Atlanta, GA USA, Atlanta Urogynecology Associates Atlanta, GA, USA, International Urogynecology Associates of Atlanta and Beverly Hills; Emory University, Atlanta, GA, USA
2. Old Milton Pkwy Ste C330 Alpharetta, GA 30005-3745 USA, Atlanta Center for Laparoscopic Urogynecology, Atlanta, GA, USA, Atlanta Urogynecology Associates Atlanta, GA, USA, Associates of Atlanta and Beverly Hills; Emory University, Atlanta, GA, USA
3. Galaxy-Care Laparoscopy Institute Pune, India, Harvard Medical School, Cambridge MA, USA, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA, Harvard Medical School, Cambridge, MA, USA
Chapter keywords

Abstract

First described in 1991, the laparoscopic retropubic colposuspension has rapidly gained popularity because of its many reported advantages, including improved visualization, shorter hospital stay, faster recovery, and decreased blood loss. Since the introduction of the retropubic urethral suspension in 1910, over 100 different surgical techniques for the treatment of genuine stress urinary incontinence (GSUI) have been described. Although there have been no studies regarding the long-term results of the laparoscopic paravaginal plus colposuspension procedure, one would assume that there is a higher cure rate for the paravaginal plus Burch colposuspension (8 to 12 sutures) compared with the Burch colposuspension only (4 sutures) for the treatment of stress urinary incontinence, because more sutures results in a greater distribution of force to the pelvic floor during episodes of increased abdominal pressure.

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