The majority of women that suffer from Stress Urinary Incontinence (SUI) i.e. urinary leakage with laugh, cough, sneeze, or other physical activities such as jumping or exercise, also have a dropped bladder or cystocele. This defect needs to be repaired at the same time as the urinary leakage issues and can be done vaginally with an anterior repair, or abdominally with a paravaginal repair. The vaginal approach has been shown to have a high failure rate; however is the one that is used by most surgeons if the SUI is treated with a mesh tape sling, as this is placed vaginally as well. A laparoscopic approach is utilized (non-mesh) to treat female urinary leakage as well as a cystocele or dropped bladder. No vaginal incision is necessary (i.e. less risk of nerve damage vaginally) and both bladder support and urinary leakage can be achieved at the same time. The dropped or prolapsed bladder is repaired via the Laparoscopic Paravaginal repair (re-attaching the vaginal wall that supports the bladder to the pelvic sidewall muscles) and the urinary leakage is corrected with Laparoscopic Burch sutures. Both procedures have cure rates in the range of 80-90%, and are considered a gold-standard procedure for these conditions.
Our surgical team has performed more Laparoscopic Paravaginal Repair/Burch procedures than any other surgery center in the US and are considered worldwide leaders in this minimally invasive treatment option.