Laparoscopic Burch Colposuspension Research Articles

Randomized Trial of Single-incision Midurethral Sling and Laparoscopic Burch Colposuspension: Postoperative Surgical Outcomes and Complications

Various retropubic and midurethral sling techniques have shown high cure rates in the treatment of stress urinary incontinence (SUI). The aim of this study was to compare single-incision midurethral sling (SIMS), and laparoscopic Burch colposuspension (LBC) procedures in patients with SUI in terms of the effectiveness, patient satisfaction, surgical complications and results. This is a prospective randomised study. A university tertiary hospital PATIENTS: Forty patients with clinically and/or urodynamically proven SUI who agreed to surgical treatment were randomized to the SIMS and LBC groups and included in the study. Patients were treated with SIMS and LBC operations. Demographic characteristics of patients, physical and pelvic examination, preoperative and postoperative clinical findings, Kings Health Questionnaire (KHQ) form, Female Sexual Function Index (FSFI) and Prolapse Quality of Life Questionnaire (P-QoL) form, postoperative Day 1 Visual Analogue Scale (VAS) score, and postoperative complications were recorded. Objective and subjective success rates were recorded by re-evaluating the patients in the first and sixth months of the operation. Objective success was defined as having a negative stress test and subjective success was defined as the absence of stress-induced urine leakage after surgery in a validated questionnaire. The primary result of our study was considered to be objective success, while the secondary result was subjective success and life quality tests. Twenty patients each in the SIMS group and the LBC group were included in the study. No significant difference was found in objective success (90% vs. 85%, p=0.633) or subjective success (85% vs. 75%, p=0.695) between the two groups at 6-month follow-up. A significant improvement in life quality was observed in the postoperative period for both groups; however, the difference between the groups was not significant. There was an improvement in sexual function in both groups. Nonetheless, while this improvement was significant in the SIMS group, it was not significant in the LBC group. Additionally, surgery time, catheterization time and hospitalization time were shorter in the SIMS group than in the LBC group. The VAS score on postoperative day 1 was lower in the SIMS group. Groups were not different in terms of peroperative and postoperative complications. This preliminary study is the first randomized study which compares the LBC and SIMS procedures in the literature. It shows that SIMS and LBC procedures have not different objective and subjective success rates in the short term. It was also observed that they increase both sexual and life quality results in a positive and similar way.

Evaluating Patient Preferences and Clinical Outcomes for Modified Laparoscopic Burch Colposuspension and Transobturator Tape Procedures in Stress Urinary Incontinence Treatment.

This study aims to provide an in-depth analysis of patient preferences and clinical outcomes associated with two prominent surgical techniques for treating Stress Urinary Incontinence (SUI): the modified laparoscopic Burch colposuspension and the transobturator tape (TOT) procedure. A prospective cohort study was conducted on 145 patients who recieved surgical treatment for SUI, of which 71 patients (49%) underwent the modified laparoscopic Burch procedure, while 74 patients (51%) received the TOT procedure. Data on clinical characteristics, treatment success rates, and postoperative outcomes were collected and analyzed to understand patient preferences and real-world clinical effectiveness. This study revealed notable differences in patient demographics and clinical characteristics between the two groups. At the 2-year follow-up, a success rate of 100% was reported in the modified laparoscopic Burch group and 86.48% in the TOT group. A total of 99 patients (68.28%) were considered cured postoperatively, with 47 (66.20%) in the modified laparoscopic Burch group and 52 (70.27%) in the TOT group (p = 0.598). A significant difference was found in the incidence of dyspareunia, with six cases (8.10%) reported in the TOT group, compared to none reported in the modified laparoscopic Burch group (p = 0.028). The median operation time was significantly shorter in the TOT group, namely 15 min, compared to the modified laparoscopic Burch group, which had a median equal to 27 min (p < 0.001). Despite these differences, patient preference for either surgical technique was observed, along with similar success rates and varied postoperative outcomes. The findings provide a comprehensive overview of patient preferences and factual clinical outcomes for the two surgical techniques in SUI treatment. This study contributes to understanding the factors influencing patient choice and offers valuable insights into the real-world application of these techniques, enhancing patient-centered care in SUI management.

Comparative study of two techniques of laparoscopic burch colposuspension using sutures versus mesh in women with genuine stress urinary incontinence

ABSTRACT Background To compare the effectiveness and safety of laparoscopic colposuspension using sutures (LCS) versus mesh and staples (LCM) in the treatment of female stress urinary incontinence. Methods This randomized study was conducted over a total of 80 women with genuine stress urinary incontinence between January 2020 and April 2022. Women were randomly assigned to the LCS group (n = 40) or the LCM group (n = 40). They underwent objective evaluations, including a standardized stress test, a 24-hour pad test, and a frequency-volume chart. Subjective assessments were made using a quality-of-life questionnaire. Results The LCS group exhibited superior outcomes in PAD test improvement (from 147 [31–304] to 3 [0–300] at 1 year, p < 0.001), stress test scores (from 82 [11–153] to 1 [0–124] at 1 year, p < 0.001), and mean micturated volume (increase from 294 ± 65 to 321 ± 57 at 1 year, p = 0.037) compared to the LCM group. Urodynamic findings revealed a higher Maximum Urethral Closure Pressure in the LCS group (33.1 ± 6.9) versus the LCM group (28.3 ± 6.4, p = 0.002). Quality of life improvements were significantly better in the LCS group across various domains. However, the LCM group benefitted from shorter surgery duration, hospital stays, and bladder drainage duration. Conclusion LCS demonstrates significant advantages over LCM in treating female stress urinary incontinence, particularly in cure rates and quality of life improvements. Despite the operational benefits of LCM in terms of reduced surgery and recovery times, LCS offers superior therapeutic outcomes.

Comparison of laparoscopic versus open Burch colposuspension techniques for female stress or mixed urinary incontinence: a ten-year experience in a tertiary center

Aims: To evaluate postoperative course, efficacy, and complication rates of Open Burch Colposuspension and Laparoscopic Burch Colposuspension techniques in stress or mixed urinary incontinence at a single training and research hospital for the last ten years in İstanbul, Turkey.&#x0D; Methods: A retrospective cohort study was conducted in all Burch Colposuspension cases performed between January 2011 and May 2022 in the Department of Gynecology and Obstetrics of İstanbul Kanuni Sultan Süleyman Training and Resaerch Hospital. All patients’ data were reviewed from the electronic medical records and analyzed who underwent Burch colposuspension surgery either with an open or laparoscopic approach. The primary outcome was a surgical success, whereas secondary outcomes were perioperative and postoperative data, including surgical type, operating time, duration of hospital stay, estimated blood loss, complications, subjective cure, and additional interventional procedure types. &#x0D; Results: The demographic and clinical characteristics among the groups have no significant difference (p &gt;0.05). The major complication rate postoperatively was considerably higher in the OC group (p

V12-10 COMPLETE BLADDER PROLAPSE THROUGH THE URETHRA: ROBOTIC-ASSISTED LAPAROSCOPIC BURCH COLPOSUSPENSION AND BLADDER NECK RECONSTRUCTION

You have accessJournal of UrologyCME1 Apr 2023V12-10 COMPLETE BLADDER PROLAPSE THROUGH THE URETHRA: ROBOTIC-ASSISTED LAPAROSCOPIC BURCH COLPOSUSPENSION AND BLADDER NECK RECONSTRUCTION Connie Wang, Rainjade Chung, Miyad Movassaghi, and Doreen Chung Connie WangConnie Wang More articles by this author , Rainjade ChungRainjade Chung More articles by this author , Miyad MovassaghiMiyad Movassaghi More articles by this author , and Doreen ChungDoreen Chung More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003347.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We present a unique case report of complete bladder prolapse through the urethra. We additionally demonstrate the surgical technique of robotic-assisted Burch Colposuspension and bladder neck reconstruction to address multiple urologic problems for a patient who was not a candidate for a mid-urethral sling, and who required concomitant pelvic organ prolapse repair. METHODS: The patient’s initial presentation of bladder prolapse through the urethra was repaired with manual reduction, urethroplasty, bladder neck closure, and cystorrhaphy. Her subsequent Burch Colpopsuspension was performed robotically. The Da Vinci Xi robot was used with a 5-port configuration, including an assistant port. Surgical steps described in this video include dissection of vagina off bladder, apical uterosacral ligament suspension, dropping the bladder, bladder neck reconstruction, Burch Colposuspension, paravaginal repair, and new suprapubic tube placement. RESULTS: A successful treatment of a freely mobile, prolapsing bladder and near absent urethra causing severe urinary incontinence is achieved. The patient remains continent and her bladder remains well reduced post-operatively. CONCLUSIONS: Robotic-assisted laparoscopic Burch Colposuspension represents a minimally-invasive, effective option for patients who present with multiple different urologic issues, including pelvic organ prolapse and stress urinary incontinence. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1067 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Connie Wang More articles by this author Rainjade Chung More articles by this author Miyad Movassaghi More articles by this author Doreen Chung More articles by this author Expand All Advertisement PDF downloadLoading ...

Compare using sutures versus mesh during laparoscopic Burch colposuspension in patints with stress urinary incontinence

Compare using sutures versus mesh during laparoscopic Burch colposuspension in patints with stress urinary incontinence

Laparoscopic TOT-like Burch colposuspension: a modification of the original to adapt to the future

Laparoscopic TOT-like Burch colposuspension: a modification of the original to adapt to the future

Effectiveness and the quality of life following laparoscopic Burch colposuspension for genuine urinary stress incontinence: six and twelve months follow up

Overview: Burch colposuspension is introduced in 1961 and since then it has been the gold standard treatment modality for genuine urinary stress incontinence. Methods: In this prospective cross-sectional study we have analyzed data from 36 women aged 42 to 63 years who had undergone laparoscopic Burch colposuspension at Colombo South Teaching Hospital Sri Lanka during the period from 2012 to 2021. Patients completed a self-administered Short Urinary Distress Inventory (SUDI) and Short Incontinence Impact Questionnaire (SIIQ) at both the baseline and the post-operative follow up (6 months, 12 months) period. The Genito-Urinary Treatment Satisfaction Scale (GUTSS) was utilized to assess satisfaction with the outcomes of the laparoscopic repair surgery. Results: Six months following the surgery, Stress Urinary Incontinence (SUI) was 9.38% with p=0.38, SUI and/or urge incontinence was 18.75% with p=0.56, which were statistically not significant. In both analyses of SUDI and SIIQ there were significant improvements in outcomes. Satisfaction with treatment outcomes from the GUTSS at six months follow up was 32.5 ± 5.8 with p=0.48. At 12 months following surgery, 15.6% of patients had GSI while 9.38% had stress incontinence frequently (p=0.26). Conclusion: Laparoscopic Burch colposuspension is an effective technique and treatment modality for urinary stress incontinence. Both objective and subjective evaluation of surgical outcomes at 6 and 12 months of follow-up demonstrated significant improvement and repetitive corrective surgeries are uncommon.

Impact of the availability of midurethral slings on treatment strategies for stress urinary incontinence: a cost-effectiveness analysis.

To perform a cost-effectiveness analysis for the surgical and non-surgical management of stress urinary incontinence (SUI) with and without the availability of midurethral sling. Cost-effectiveness analysis. USA, 2019. Women with stress urinary incontinence. We modelled SUI treatment pathways with and without the availability of midurethral slings, including no treatment, incontinence pessary, pelvic floor muscle physical therapy, urethral bulking injection, open and laparoscopic Burch colposuspension, and pubovaginal autologous sling. Time horizon was 2 years after initial treatment. Costs (2019 US$) included index surgery, surgical retreatment, and complications including urinary retention, de novo urgency and mesh exposure. The incremental cost-effectiveness ratio (ICER) was calculated for non-dominated treatment strategies. The least costly treatment strategies were incontinence pessary, pelvic floor physical therapy, no treatment and midurethral sling, respectively. Midurethral slings had the highest effectiveness. The strategy with the lowest effectiveness was no treatment. The three cost-effective strategies included pessary, pelvic floor muscle physical therapy and midurethral slings. No other surgical options were cost-effective. If midurethral slings were not available, all other surgical options were still dominated by pelvic floor muscle physical therapy. Multiple one-way sensitivity analyses confirmed model robustness. The only reasonable threshold in which outcomes would change, was if urethral bulking costs decreased 12.6%. The midurethral sling is the most effective SUI treatment and the only cost-effective surgical option. Midurethral sling is the only cost-effective surgical treatment option for stress urinary incontinence.

This video provides a step-by-step guide on how to do a laparoscopic Burch colposuspension. The video is divided in 6 different steps in order to make the procedure more comprehensive and reproducible.

This video provides a step-by-step guide on how to do a laparoscopic Burch colposuspension. The video is divided in 6 different steps in order to make the procedure more comprehensive and reproducible.

Five-Years Outcomes of Different Procedures for The Treatment of Female Stress Urinary Incontinence: A Systematic Review and Network Meta-Analysis

Introduction:The current body of evidence is limited regarding the long-term outcomes of different modalities for stress urinary incontinence (SUI). We conducted this systematic review and network meta-analysis to compare the long-term follow-up outcomes of mid-urethral slings (MUS), Burch colpo-suspension, pubo-vaginal sling (PVS), anterior colporrhaphy with Kelly’s plication, and laser therapy in the treatment of SUIMethods: In this systematic review and network meta-analysis, we included prospective and retrospective studies that assessed the long-term outcomes of modalities for the management of SUI. We performed an online, bibliographic, search in four bibliographic databases: Cochrane Central Register of Controlled Trials (CENTRAL), Medline via PubMed, Web of Science, and Scopus.Results: A total of 42 studies were included. For the subjective cure rate, five different interventions were compared; pooling direct and indirect comparisons revealed an advantage of tension-free vaginal tape (TVT) intervention over TVT-obturator (TVT-O), laparoscopic Burch colpo-suspension, trans-obturator tape (TOT), and TVT-sling (TVT-S). Concerning objective cure rate, the pooling direct and indirect comparisons showed an obvious advantage of TOT, followed by TVT, and then TVT-O, Burch lap, and TVT-S. For repeated surgery, four different interventions were compared, and the comparisons revealed an advantage of TVT intervention over TVT-O, PVS, and TOT. The comparisons revealed the advantage of TVT and TVT-O over other procedures for lower urinary symptoms and postoperative complications.Conclusion: In conclusion, MUS appears to be the most effective and safe procedure for SUI at long-term follow-up. However, these findings should be interpreted with caution as there is scarcity in the published reports assessing long-term outcomes of other modalities, especially PVS and laser therapy.

Minimally Invasive Burch Colposuspension - The Robotic Approach

Video Objective To demonstrate a minimally invasive technique to the Burch procedure for treatment of stress urinary incontinence as an alternative therapeutic modality for women who do not want or cannot have mesh products. Setting Surgical intervention for a 68 yo G12 P10-0-2-10 with prolapse and stress urinary incontinence (SUI). After undergoing appropriate counseling and discussion regarding risks, benefits and alternatives the patient and family declined use of mesh products for any portion of the repair. The decision was made to proceed with a hysterectomy, uterosacral colpopexy and Burch colposuspension. Preoperative optimization of her health and multiple co-morbidities required a multidisciplinary approach. Blood pressure control, diabetes and thyroid management as well as topical estrogen treatment of vaginal epithelium for 3 months prior to surgery. Interventions Robotic colposuspension for genuine SUI following a robotic hysterectomy and uterosacral colpopexy. The procedure took 62 minutes to complete, the blood loss was minimal and there were no complications. She was observed overnight, had a successful voiding trial in the morning and was discharged shortly after. Follow up at 2 and 6 weeks after surgery she reported no pain and no complications. She reports significant improvement in bladder function and bladder control. Conclusion The Burch procedure is well known as an effective treatment for SUI but generally not frequently performed due to morbidity associated with laparotomy requiring procedures and the availability of less invasive approachesmsuch as a transvaginal suburethral sling. With the minimally invasive surgery evolution being inclusive of nearly all gynecologic procedures, a robotic or laparoscopic Burch colposuspension as an alternative to transvaginal suburethral sling with mesh should be considered. This videos demonstrates a reproducible, safe and efficient approach to this procedure.

Long-term patient-reported outcomes after laparoscopic Burch colposuspension.

The negative media attention surrounding vaginal mesh procedures has seen a rise in demand for minimally invasive non-mesh options for the treatment of stress urinary incontinence (SUI). The laparoscopic Burch colposuspension (LBC) is a non-mesh alternative to synthetic midurethral slings (MUS) with similar short-term outcomes. However, long-term outcomes are not well established. To evaluate the long-term outcomes of LBC for treatment of SUI in women. One hundred and fifty-one cases of LBC were performed by a single surgeon over two private hospital settings between January 2010 and January 2016. Follow-up subjective outcomes were obtained in 137 cases (90.7%) utilising standardised questionnaires. Primary outcome was successful treatment of SUI, defined as subjective cure or significant improvement of stress incontinence symptoms. Secondary outcomes included new-onset or worsened symptoms of overactive bladder (OAB), voiding dysfunction, prolapse, and perioperative complications. One hundred and thirty-seven patients were analysed with a mean follow-up of 50.6months (range: 13-89months). Primary outcome of successful treatment was achieved in 90.5% of women. New-onset or worsened symptoms of OAB was reported in 10.2%, with a further 8.8% of women experiencing symptomatic voiding dysfunction. Sixteen patients (11.7%) reported new-onset or worsening symptoms of prolapse. There were no major surgical complications. LBC is a safe and effective long-term treatment for SUI, with low failure rates and minimal adverse outcomes. It is a suitable alternative for women with contraindications to mesh or those having concomitant laparoscopic procedures.

Burch colposuspension.

AimsTo evaluate the historic and pathophysiologic issues which led to the development of Burch colposuspension, to describe anatomic and technical aspects of the operation and to provide an update on current evidence.MethodsWe have performed a focused literature review and have searched the current available literature about historic dimension, technical descriptions, and efficacy of Burch colposuspension.ResultsBurch colposuspension, performed either by an open or a laparoscopic approach, is an effective surgical treatment for stress urinary incontinence.ConclusionsIn current recommendations, Burch colposuspension remains an option for secondary treatment. Because midurethral slings have recently become under scrutiny, it may return as a first‐line treatment procedure. Both open and laparoscopic Burch colposuspension should therefore nowadays be provided in fellowship programs worldwide.

Occult Bladder Perforation with Atypical Localization: A Complication of Laparoscopic Burch Colposuspension

Occult Bladder Perforation with Atypical Localization: A Complication of Laparoscopic Burch Colposuspension

Laparoscopic Burch Colposuspension: Elevating Routine Treatment Options for Complex Patients

Laparoscopic Burch Colposuspension: Elevating Routine Treatment Options for Complex Patients

Laparoscopic Burch Colposuspension Using a 3-Trocar System: Tips and Tricks

Study ObjectiveTo describe a technique for performing laparoscopic Burch colposuspension using a 3-trocar system. DesignThis educational video provides step-by-step instructions for performing a laparoscopic Burch colposuspension. This study was exempt from institutional review board approval. SettingMidurethral slings are an effective surgical treatment for women with stress urinary incontinence, but not all patients are candidates for, or desire, vaginal mesh. For stress incontinence, nonmesh surgical procedures include pubovaginal fascial slings and retropubic Burch colposuspension. Colposuspension may be performed via an open or laparoscopic approach. As with other minimally invasive surgeries, laparoscopic colposuspension has decreased blood loss, pain, and length of stay with equivalent outcomes at 2 years compared with open procedures. This video describes a technique for performing laparoscopic Burch colposuspension using a 3-trocar system. InterventionsA laparoscopic Burch colposuspension is described using a 3-trocar system. Detailed step-by-step instructions are given, along with visualization of pertinent anatomy. Supplies needed for this procedure include a 0-degree, 5-mm laparoscope; two 5-mm trocars, 1 to be placed in the umbilicus and 1 in the left lower quadrant; one 5/12-mm trocar to be placed in the right lower quadrant for passing needles; a closed knot pusher; laparoscopic scissors; and 2 needle drivers. This technique assumes that the primary surgeon (located on the patient's left) is right-handed and that both surgeons can suture and tie knots laparoscopically. Tips are highlighted to ensure safety and ensure successful completion of the procedure. ConclusionLaparoscopic Burch colposuspension offers a nonmesh-based repair for women with stress urinary incontinence using a minimally invasive approach. It is a reasonable alternative to offer patients with stress urinary incontinence who do not desire repair using vaginal mesh.

Retraction Note: Stress urinary incontinence: long-term results of laparoscopic Burch colposuspension.

The open Burch colposuspension, first described in 1961 had been widely employed for the surgical treatment of women with stress urinary incontinence (SUI) caused by urethral hypermobility. We evaluated the long-term efficacy of laparoscopic Burch colposuspension (LBC) for SUI in women. A randomized prospective trial was conducted from September 2010 to January 2013. The extraperitoneal laparoscopic Burch colposuspension was performed by an operator on 96 women, mean age was 54,3 ± 3,7 years all of whom suffered from SUI or mixed urinary incontinence. Patients completed a self-administered the Short Form-36 (SF-36), the Physical Component Summary (PCS) and Mental Component Summary (MCS), the Short Urinary Distress Inventory (SUDI) and Short Incontinence Impact Questionnaire (SIIQ). at both baseline and follow up(6 weeks, 6 months, 18 months postoperatively). The Genito-Urinary Treatment Satisfaction Scale (GUTSS) was used to assess satisfaction with surgery. After follow up was recorded an improvement of questionnaries scores. The general health score is improved after surgery (2,60 ± 1.02 versus 2,76 ± 1.06) with p = 0.09. The PCS baseline score is 46.29 ± 10.95 versus 49.54 ± 10.41 after treatment with p = 0.01, so there was a significant baseline to follow up improvement. The MCS improved also, infact baseline score is 42.19 ± 12.57 versus 42.70 ± 13.03 with p = 0.87. The SUDI baseline score is 50.22 ± 20.73 versus 23.92 ± 17.90, while SIIQ score is 49.98 ± 23.90 versus 31.40 ± 23.83 with p < 0.01. In both questionnaires there is an improvement. Satisfaction with treatment outcomes from the GUTSS at 6-month follow up is 29.5 ± 6.3 with p = 0.46. The LBC has significant advantages, without any apparent compromise in short-term and long term outcomes.

Laparoscopic burch colposuspension in children: technical challenges and primary results.

To present the primary results of laparoscopic, Burch-type colposuspension (LBC) in children. LBC was performed in eight children (mean age, 14 years) with urinary incontinence after failed extensive urotherapy program. In all patients, bladder neck (BN) incompetence was proven by clinical observation, perineal ultrasound (US), and video-urodynamic study (V-UDS). The LBC was performed with patients in the lithotomy position by means of three 5-mm ports. The anterior wall of the vagina, lateral to the BN, was mobilized, and the vaginal wall was bilaterally lifted and sutured to Cooper's ligament, resulting in elevation and fixation of the BN. A catheter was left for 4 days. The mean operation time was 101 minutes (range, 56-150 minutes), and the follow-up time was >6 months. The postoperative period was uneventful for all patients. Shortly after the procedure, 5 patients (62.5%) were dry, and 1 patient improved (12.5%). After 6 months, 3 patients (37.5%) were dry, and 2 (25%) improved. In 3 wet patients, control US and V-UDS focused on the BN revealed hypermobility and persistent flat vesicourethral angle (VUA) in 1 patient, hypermobility with a good restoration of the VUA in 1 patient, and good fixation with good restoration of the VUA in 1 patient. LBC is a challenging procedure in children because of the small operation field. This procedure can be considered to cure refractory stress urinary incontinence in children with BN insufficiency when noninvasive methods have failed.

Laparoscopic Burch Colposuspension

Laparoscopic Burch colposuspension is an operation to help elevate the urethro-vesical junction so as to correct stress urinary incontinence. The paravaginal tissue of the urethro-vesical junction is elevated by fixing it with the Cooper’s ligament with the help of non-absorbable sutures or mesh. Subjective and objective cure rates are better with the non-absorbable sutures. Laparoscopy can be done via extra-peritoneal or intra-peritoneal approach; though most of the surgeons prefer intra-peritoneal approach. Laparoscopic technique is no way inferior to the laparotomy technique; rather it has the same efficacy like open Burch colposuspension in short, medium & long term results, (level 1 evidence). Intraoperative cystoscopy is mandatory as it can find out the accidental inclusion of the bladder, which if not detected, can lead to many urinary problems afterwards. Apart from this bladder injury related urinary complaint, post-operatively some other urinary complications are also reported e.g. de novo overactive bladder, voiding difficulties etc. though incidences are less. Pelvic organ prolapse-urinary incontinence sexual function questionnaire (PISQ) found that sexual functions have been improved after the operation. Due to the advent of tension free vaginal tape (TVT), trans-obturator tape (TOT) and, mini sling the popularity of Burch colpo suspension has been decreased. But after the FDA warning on uses of mesh, there is a resurgence of laparoscopic Burch colposuspension. Keywords: Burch colposuspension, laparoscopy, retropubic urethropexy, stress urinary incontinence, TVT, TOT.