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Minimally Invasive Surgery

Minimally Invasive Procedures

Laparoscopic Burch and Paravaginal Repair

Weakening of the pelvic supporting tissues allows the urethra and bladder neck to bounce downwards (urethral hypermobility) with coughing, sneezing, and any physical exertion, leading to leakage of urine. These situations have in common a momentary increase in abdominal pressure. This is called stress urinary incontinence, with the stress being the transient increase in abdominal pressure. The paravaginal repair reattaches, using permanent sutures, the fascia between the bladder and the vagina to the pelvic sidewall, thus re-establishing the normal anatomy. The Burch repair, using permanent sutures, creates a "hammock" for the urethra and bladder neck, so that the tissues will not bounce when exposed to increased abdominal pressure, and the patient will not lose her urine.

Click here to learn more about Laparoscopic Burch and Paravaginal Repair and view surgery photos.