Type of Surgery
Information
Last updated: 02/17/2009
The patient can expect more than 80–90% cure or great improvement in their incontinence. There is a large body of literature documenting the success of the Burch procedure. Published research shows a cure rate ranging from 63–93%, according to...
the actual version of colosuspension used. Laparoscopic surgery has not produced the long term results that open surgery has and there is the possibility that the fibrosis (adhesion) necessary for a successful outcome does not occur as easily with the laparoscopic procedure. Patients not carefully screened out for ISD will not have a high level of success with the Burch procedure since the source of the incontinence will not have been treated. Sling procedures are recommended for patients with ISD instead of colosuspension surgery.
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Other Information
Retropubic suspension refers to the surgical procedures used to correct incontinence by supporting and stabilizing the bladder and urethra. The Burch procedure, also known as retropubic urethropexy procedure or Burch colosuspension, and Marshall-Marchetti-Krantz procedure (MMK) are the two primary surgeries for treating stress incontinence. The major difference between these procedures is the method for supporting the bladder. The Burch procedure uses sutures to attach the urethra and bladder to muscle tissue in the pelvic area. MMK uses sutures to attach these organs to the pelvic cartilage. Laparoscopic retropubic surgery can be performed with a video laparoscope through small incisions in the belly button and above the pubic hairline.
Other Information
An obstetrician/gynecologist, commonly abbreviated as OB/GYN, can serve as a primary physician and often serve as consultants to other physicians.
From: womenshealthchannel.com
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