Laparoscopic bladder neck suspension.
STUDY OBJECTIVE: To determine the results of transperitoneal laparoscopic bladder neck suspension. DESIGN: Prospective observational study. SETTING: A university-affiliated hospital. PATIENTS: Thirty-two consecutive women with the diagnosis of genuine stress incontinence and hypermobile proximal urethra and bladder neck. INTERVENTIONS: Laparoscopic transperitoneal bladder neck suspension (Burch procedure) in combination with laparoscopic-assisted vaginal hysterectomy or other procedures. MEASUREMENTS AND MAIN RESULTS: Success was defined as lack of leakage of urine, negative Q-Tip test, and good voiding control without need for drugs 6 weeks postoperatively. Over a minimum follow-up of 24 months, the procedure yielded satisfactory urethrovesical support in all patients and an overall success rate of 90.6%. CONCLUSIONS: Laparoscopic transperitoneal bladder neck suspension (Burch procedure) is an excellent endoscopic technique for the surgical treatment of genuine stress incontinence, although it awaits the test of time.