A new retropubic suspension operation technique for transvaginal Burch operation, using newly developed equipment.

BACKGROUND

Genuine stress urinary incontinence is a very common pathologic condition among women. In order to operate this, different techniques have been introduced. Here, a new technique is described for the operation of genuine stress urinary incontinence with newly developed equipment. The present technique offers more advantages than previous techniques introduced by different authors. With this technique, the duration of operation and of the recovery period are both shorter than with previous techniques. All patients had symptoms and signs of stress urinary loss. We performed multichannel cystometry preoperatively to all patients.

METHOD: A special valve is used with reflector having 97% reflection capacity for transvaginal burch operation technique. Twenty five women (n = 25) having genuine stress urinary incontinence were taken under transvaginal Burch bladder neck suspension operation with fixation of suspension sutures to the Cooper (iliopectineal) ligament.

RESULTS

Following urodynamic workup 6 months after the surgery, one out of the 25 patients (4%) was diagnosed to have genuine stress incontinence, while one patient (4%) were diagnosed as having urinary stress incontinence and detrussor instability. One patient was found to be wet postoperatively due to only detrussor instability (4%). There were no significant differences pre- and postoperatively regarding capacity, residual volume, pressure rise on filling or standing, or maximal voiding pressure or peak flow rate.