Laparoscopic retropubic colposuspension (Burch procedure).

Laparoscopic retropubic colposuspension (Burch procedure) was performed in 107 patients for the treatment of genuine stress urinary incontinence. The overall success rate was 97.2%, and overall complication rate 10.2%. Patients experienced minimal blood loss, shorter hospital stay, and faster recovery than with the traditional approach by laparotomy, confirming the findings of an initial study of 58 patients. Although follow-up has been relatively short (range 3-27 mo), it appears that laparoscopic retropubic colposuspension is a feasible and safe alternative to the abdominal procedure in appropriately selected patients.