Cost of Burch Colposuspension Worldwide

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.