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Stress urinary incontinence, a condition in which urine leaks uncontrollably during activities such as coughing, sneezing, laughing, or exercise, is treated with a Burch colposuspension. When conservative treatments, such as pelvic floor exercises, have failed, this procedure can restore normal pressure and reduce or stop leakage by supporting and elevating the bladder neck and urethra by anchoring surrounding tissue to pelvic ligaments.
You should consult a doctor if you are experiencing stress urinary incontinence, leakage of urine during activities like coughing, sneezing, or exercise, and conservative treatments such as pelvic floor muscle training and lifestyle changes have not helped. A specialist evaluation by a urologist or gynaecologist is recommended when incontinence affects daily life, causes embarrassment, or persists despite non-surgical management, to allow discussion and planning of Burch colposuspension.
Before undergoing Burch colposuspension surgery, you will attend a preoperative assessment clinic where your overall health and fitness for surgery are assessed. This typically includes questions about your medical history, current medications, allergies, and any necessary tests such as blood tests, ECG, and chest X-ray to ensure you are fit for anaesthesia and the procedure. You will also meet nursing and surgical staff who will explain what to expect, answer your questions, and help you make arrangements for your recovery at home after discharge
Burch colposuspension is performed under general or spinal anaesthesia through a small abdominal incision. The surgeon exposes the bladder neck and surrounding tissues, then places sutures on either side of the urethra and bladder neck and secures them to strong pelvic ligaments behind the pubic bone to lift and support the bladder outlet. This elevation helps prevent urine leakage during physical strain. After the sutures are placed, the incision is closed, and a urinary catheter is usually left in place temporarily to drain the bladder as it heals.
The Burch colposuspension procedure typically takes 60 to 90 minutes to complete, depending on the individual case and whether additional procedures are performed concurrently. Most patients are able to go home within 1 to 3 days after surgery.
- Bleeding, infection, and blood clots (VTE)
- Anaesthesia-related risks
- Overactive bladder symptoms (up to 17%)
- Difficulty passing urine (up to 10%), sometimes needing catheterisation
- Back vaginal wall prolapse (rectocele)
- Pain or reduced sensation during intercourse (~5%)
- Helps reduce or stop stress urinary incontinence, improving bladder control
- Can restore confidence and comfort during daily activities
- Reduces leakage when coughing, sneezing, laughing, or exercising
- May improve quality of life by decreasing reliance on pads or continence products
- Can be performed alongside other pelvic procedures if needed
- Long‑term continence improvement when conservative treatments have failed
Following Burch Colposuspension, patients usually stay in the hospital for 1-3 days for monitoring and initial recovery. Postoperative care focuses on pain management, bladder drainage with a temporary catheter, gradual return to normal activities, and follow-up visits. Most patients can resume daily routines within a few weeks, whereas full bladder function and improvements in continence may continue to develop over time.
The success rate of Burch colposuspension for stress urinary incontinence (SUI) varies but is generally high. Initial cure, defined as significant improvement, is frequently reported to be between 70 and 90%, but it decreases over time to 70% at five years. Studies have reported rates ranging from 68% to over 97%, depending on the technique (open vs. laparoscopic) and follow-up duration, highlighting good long-term outcomes for many patients and a reduction in mesh complications.
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Memorial Ankara Hospital
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International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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Bangpakok 9 International Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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+99Process Involved for Burch Colposuspension
Diagnosis & Pre-Surgical Evaluation
- Urology/urogynaecology consultation
- Pelvic examination and symptom assessment
- Urine tests and basic blood work
- Urodynamic testing, if required
- Fitness assessment for surgery
Pre-Surgery Preparations
- Medication review and anaesthesia evaluation
- Fasting before surgery
- Discussion of surgical approach and expectations
Procedure
- Performed under general anaesthesia
- Abdominal or minimally invasive access
- Sutures placed to support the bladder neck
- Restores bladder position to prevent leakage
Post-Surgical Recovery
- Short hospital stay with catheter care
- Pain management and early mobilisation
- Gradual return to routine activities
- Stress urinary incontinence
- Used when conservative treatments (pelvic floor exercises, lifestyle changes) have not worked.
- Adults with stress urinary incontinence not improved by conservative treatments.
- Individuals who have tried pelvic floor exercises and lifestyle modifications without success.
- Confirmed diagnosis through specialist evaluation and urodynamic testing
- No contraindications to abdominal or pelvic surgery
- Laparoscopic or open prolapse repair
- Sacral colpopexy with Burch
- Hysterectomy
- Mid-urethral sling / anti-incontinence tape
- Anterior or posterior vaginal wall repair
- Reduces urine leakage
- Improves bladder control
- No mesh used
- Strong bladder support
- Most people experience minimal or no urine leakage.
- Many patients remain dry over the long term (years).
- Some feel much better soon after recovery.
- Higher chance of good results if no other bladder problems.
- A small number may still have some leakage later.
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