Burch Procedure: A Historical Perspective.

Marair Gracio Ferreira Sartori,Gisele Vissoci Marquini,Zsuzsanna Ilona Katalin De Jarmy Di Bella Bella

doi:10.1055/s-0042-1744312

Marair Gracio Ferreira Sartori, Gisele Vissoci Marquini + Show 1 more

Open Access

https://doi.org/10.1055/s-0042-1744312

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Abstract

The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001. This historical perspective of the Burch's timeline can encourage urogynecological surgeons to master the Burch technique as one of the options for surgical treatment of SUI. A bibliographic search was performed in the PubMed and National Library of Medicine (NIH) databases with the terms Burch colposuspension AND history AND stress urinary incontinence in the last 20 years. The original article by Burch (1961) was included. The references were read by three authors. The exclusion criterion was studies in non-English languages. Biomedical Library Special Collections were included as historical relevant search. Some modifications of the technique have been made since the Burch procedure was first described. The interest in this technique has been increasing due to the negative publicity associated with vaginal synthetic mesh products. Twenty-nine relevant articles were included in the present review article, and numerous trials have compared Burch colposuspension with MUS. This historical perspective enables the scientific community to review a standardized technique for SUI. Burch colposuspension should be considered an appropriate surgical treatment for women with SUI, and an option in urogynecological training programs worldwide.

Highlights

The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001
This historical perspective enables the scientific community to review a standardized technique for SUI
The Burch procedure was first described by Dr John Chistopher Burch in 1961.2 Burch colposuspension was considered as the gold standard retropubic colposuspension surgical treatment before Ulmsten and Petros[3] presented the tension-free vaginal tape (TVT) procedure in 1995

Summary

Introduction

The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001. Objective This historical perspective of the Burch’s timeline can encourage urogynecological surgeons to master the Burch technique as one of the options for surgical treatment of SUI. Data Collection, Analysis and Main Results Some modifications of the technique have been made since the Burch procedure was first described. The interest in this technique has been increasing due to the negative publicity associated with vaginal synthetic mesh products. The colposuspension procedure was once considered the gold standard in the treatment of SUI, its number has waned since the turn of the 21st century, following the introduction of the MUS.[1]

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