Laparoscopic Burch and Paravaginal Repair

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Laparoscopic Burch and Paravaginal Repair

Laparoscopic Burch and Paravaginal Repair

The 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 fascial white line along the medial surface of the Obturator Internus muscle (sidewall of the retropubic space), 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, preventing leakage of urine. Long-term success with the Burch procedure is approximately 85%. There is no procedure that is successful 100%. Both completely dry and minimally acceptable wetness is considered success. 

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

If you're ready to get started, or if you have any questions, please call the office at (207) 883-3883 or send us a message, we'd love to hear from you.

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