The Experience of Transvaginal Burch Operation for Genuine Stress Incontinence

Kim, Hyun Cheol; Park, Young Kyung

Abstract

A total of 32 female patients with genuine stress urinary incontinence underwent Raz needle suspension with fixation of suspension sutures to the iliopectineal ligament (transvaginal burch procedure) from July 1995 to December 1996. Mean age of the patients was 47 years (range; 31~64 years). The duration of the incontinence was 5 years in average (range; 2~12 years). In the degree of severity, 25 patients were Grade II and 7 patients were Grade I. Mean parity was 3 (range; 1~5 times). The duration of follow up was 7 months in average. Incontinence was completely disappeared in 29 patients (91%) and significantly improved in 3 patients (9%). There was no serious operative complications such as bleeding needed transfusion. But temporary urinary retention (5), suprapubic pain (9), vaginitis (3) and urinary tract infection (4) were noted. By fixing suspension sutures to the iliopectineal ligament we expected to achieve a static suspension independent of patient activities. Because of short term follow-up and small number of cases, long term follow-up and additional number of cases are needed, but, so far, results are satisfactory with 91% continence and minor complications. We believe that fixation of suspension suture to the iliopectineal ligament can favorably influence long-term results of needle suspension in the treatment of female stress urinary incontinence.