First case series in Chennai
At times, the muscles of the pelvic floor area can become lax and weak due to carrying and delivering babies, old age or other medical conditions. One such muscle, called the sphincter, controls the passage of urine. When it becomes weak, there may be unwanted leakage of urine.
Alternatively, instead of loosened sphincter muscle, an overactive bladder can also cause uncontrolled leakage of urine. This condition is called urinary incontinence.
Burch Colposuspension Background
The area between the urinary bladder and urethra is the bladder neck. Main aim is to stop leakage of urine by creating a small bend in the bladder neck. This is achieved by a procedure known as Burch Colposuspension. This has been regarded as the Gold Standard in treating Urinary incontinence in women. It has a high success rate of about 85%.
With new advances in technology, this can also be achieved by just placing a tension free vaginal tape in the middle portion of the urethra. Placing this tape creates a small kink in the urethra. This prevents easy leak of urine during stressful activities like coughing, sneezing, laughing, etc.
How Burch Colposuspension is Performed
Tiny key hole sized incisions are made in the patient’s abdomen. Special laparoscopic surgical instruments are inserted.
The neck of the bladder is identified and two sutures are taken on either sides. The other end of the surgical suture is pulled back and upwards and fixed to the tissues of the back.
This creates a bend and makes the bladder opening smaller. This reduces the leaking tendency.
The front wall of the vagina is carefully lifted and fixed onto a structure behind the hip bone, making the bladder opening smaller.
This helps control the pressure within the bladder when it is full preventing any unwanted leakage of urine. The instruments are then removed and incision is closed in layers, leaving no scars behind.
While urinary incontinence is not life threatening, women with this condition suffer from frequent urinary track infection. Moreover, their social life can also become seriously restricted. So it is advisable to share ones problem with the surgeon and get it corrected with this simple procedure at the earliest.
life after laparoscopic burch colposuspension
One can go ahead with normal activities 2-3 days after surgery. However it is advised to avoid heavy weight lifting and strenuous physical activities for at least 10 days.
Vaginal strengthening exercises are also recommended.
Burch colposuspension FAQ’s
Nerve muscle co-ordination issues could also cause stress urinary incontinence.
TVTO and Burch Colposuspension.
LIMA has had extremely good results using this surgical technique. Fortunately as this is a keyhole surgical technique, patient compliance is extremely high.
Burch Colposuspension Specialists
Dr. J. S. Rajkumar
M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)
Dr. Deepa Ganesh
ADVANCE LAPAROSCOPIC GYNECOLOGIST, ROBOTIC SURGEON & COSMETIC GYNECOLOGICAL SURGEON
M.B.B.S., M.S (OBG), F.MAS, D.MAS, FICRS, Dip.MIS (GERMANY), D.ALS (FRANCE), D.ACG (USA)