Burch colposuspension surgical procedure used to treat stress urinary incontinence SUI in women скачать в хорошем качестве

Burch colposuspension surgical procedure used to treat stress urinary incontinence SUI in women

Burch colposuspension is a surgical procedure used to treat stress urinary incontinence (SUI) in women, particularly when it's caused by urethral hypermobility due to weakened pelvic support structures. 🧠 Purpose The goal is to elevate and stabilize the bladder neck and urethra by attaching supportive ligaments to the vaginal wall, thereby preventing urine leakage during activities that increase abdominal pressure (e.g., coughing, sneezing, lifting). ⚙️ Surgical Technique Performed via open abdominal surgery or laparoscopy The paravaginal tissue near the bladder neck is sutured to the Cooper’s ligament (part of the pelvic bone) This lifts and supports the urethra, restoring continence 🩺 Indications Stress urinary incontinence with urethral hypermobility Failed conservative treatments (e.g., pelvic floor therapy) Suitable for women who are not candidates for sling procedures ✅ Benefits Long-term success in reducing or eliminating SUI Avoids use of synthetic mesh (unlike mid-urethral slings) Can be combined with other pelvic surgeries ⚠️ Potential Complications Urinary retention or voiding dysfunction De novo urge incontinence Pelvic organ prolapse Dyspareunia (painful intercourse) Bladder or bowel injury (rare) 🧭 Availability in Nigeria This procedure is typically performed in tertiary hospitals with urogynecology or urology specialists. In Edo State, consider: University of Benin Teaching Hospital (UBTH) Specialist gynecology clinics with surgical expertise #Surgery