DR. MAYANK MOHAN AGARWAL
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Laparoscopic Burch Colposuspension

What does laparoscopic colposuspension mean?

Laparoscopic colposuspension is an operation that help with stress urinary incontinence. Using keyhole surgery, internal stitches are placed to lift up and support the base of the bladder. This helps to avoid leakage during coughing, sneezing, or activities such as exercise.

How can a laparoscopic colposuspension help?

If you have symptoms of stress urinary incontinence, this operation will likely to help you. Though the operation is effective, no operation will work for everyone. Some women will find that their stress urinary incontinence is not helped by the surgery. Occasionally, the operation works well initially but the problems start again after some time.

The most reliable medical research studies (called randomised trials) have shown that at five years, most women are satisfied: · Around 70 to 80 out of 100 women will be cured of their stress urinary incontinence or very much improved. Other types of research have continued to monitor patients for up to 10 years after surgery. These studies says that the success of the procedure may drop very slightly in the long term. As this surgery is performed to help with stress urinary incontinence, it may also help with urinary urgency. Urgency means that having to suddenly rush to the toilet to pass urine without warning. Most of the research would suggest that: · Around 60-70 out of 100 women will find that their urinary urgency improves after surgery or even disappears.

The non-surgical alternatives to laparoscopic colposuspension include:

  • Pelvic floor physiotherapy.
  • Weight loss.
  • A continence pessary.

Other surgical options include:

  • Synthetic midurethral sling.
  • Autologous sling. · Urethral bulking agents.
  • Artificial urinary sphincter.