Kolposuspenze dle Burche – zlatý standard v operacích ženské močové inkontinence
Současná urogynekologická operativa I


Authors: I. Huvar
Published in: Urol List 2008; 6(1): 44-47

Overview

Burch colposuspension was certainly the most significant urogynaecological surgical procedure in the second half of the 20th century. After it was published by Burch in 1961, it began to be widely used relatively soon on both the sides of the Atlantic and beginning with the 1980's became a sort of standard in urogynaecological surgery. It surpassed other surgical methods for its success rate, sustainable complication rate, as well as for its lasting effect. The principle of the surgery consists in elevation and, primarily, fixation of the urinary bladder cervix and proximal urethra with the use of nonabsorbable stitches, suspending the lateral vaginal fornix to lig. iliopectineum (lig. Cooperi). With progress in laparoscopic methods, also the laparoscopic alternative was introduced in the late 1980's. According to Cochrane Review, its success rate one year post-op is 85–90 %, and about 70 % 5 years pos-op – a result which had not been achieved by any other surgical method before. The method only began to decline in importance after less invasive methods began to be used in the mid 1990's, but there are still indications which justify its application.

Key words:
stress urinary incontinence, surgical treatment of incontinence, colposuspension, Burch


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