Assessment of Laparoscopic Burch Colposuspension for Treatment of Genuine Stress Urinary Incontinence

Background: The laparoscopic technique is an effective substitute for open surgery in the age of minimally invasive operations. The conventional surgical approach for treating stress incontinence is still Burch colposuspension.
Objective: The purpose of this study was to evaluate Burch colposuspension surgery for stress incontinence.
Patients and methods: Thirty female individuals suffering from urodynamic stress incontinence had laparoscopic bladder surgery, conducted at the Faculty of Medicine, Tanta University Hospital.
Results: The average age was 44.7±6.7 years and the average body mass index was 27.2±2.8 kg/m². The average operating duration was 92.25 minutes. There was an average blood loss of 135.3±29.9. Hospital stay (hours) was 73.4 ± 10.2 hours. Pain score was (3.7 ± 1.5). There was one case of bladder injury (3.3%), one case of wound infection (3.3%), one case of fever (3.3%), and 3 cases of UTI (10.0%). Regarding postoperative urinary problems there was one case complaining of retention (3.3%), 5 cases complaining of difficult voiding (16.7%), and 4 cases complaining of urgency (13.3%). Regarding patient satisfaction during follow-up, it was 70% at one month, 76.7% at six months, and 83.3% at twelve months.
Conclusion: Laparoscopic bypass surgery has a longer recovery period and a longer learning curve than traditional bypass surgery, but it delivers a shorter hospital stay, less discomfort after surgery, and a speedier recovery overall.