Urinary leakage in women that is caused by physical activities such as sneezing, laughing, coughing, jumping, lifting, exercise or other similar activities is termed Stress Urinary Incontinence (SUI). This is a very common condition that affects women following childbirth and/or aging. Mild SUI may be successfully treated with pelvic floor exercises such as Kegels; however more severe leakage needs surgical correction of the ligament that supports the urethra (outlet of the bladder).
The Laparoscopic Burch procedure is a non-mesh surgery that restores the support of the bladder and has a cure rate for SUI of 80-90% (same as sling procedure, but without the mesh). The Burch procedure is considered a gold standard treatment for SUI and has been around for over 50 years. Very few surgical centers in the U.S. offer this procedure laparoscopically and therefore may tend to state that the only treatment option for SUI is one that utilizes mesh.