Mini-incisional Burch urethropexy: a less invasive method to accomplish a time-tested procedure for treatment of genuine stress XXXX .

@entity1 @entity322
The purpose of this study was to evaluate the feasibility, safety and efficacy of performing the Burch urethropexy (BU) and the abdominal paravaginal repair (APR) through a 1.5-2.5 in suprapubic incision. A prospective clinical study was undertaken by four urogynecologists. Seventy-three @entity1 , each with a urodynamic and clinical diagnosis of genuine stress @entity322 , underwent a BU procedure, with 33 of the 73 having concomitant APR through the same incision. The duration of surgery and any complications were recorded. Postoperative outcome tests included subjective @entity322 questionnaire, cough stress testing, pad testing, measurement of residual volumes, and analgesia requirements. The BU procedure was accomplished in 72 of 73 @entity1 , with 1 requiring conversion to a 5 in incision. The mean operative time was 64.6 +/-21.9 (SD) min. Intraoperatively, 1 @entity1 was noted to have a suture in the bladder. All @entity1 having only a BU (40) went home on the day of surgery or the first postoperative day, and all @entity1 with BU and APR went home within 2 days. All but 1 @entity1 met the criteria for catheter removal within 7 days, with 1 @entity1 suffering obstructive voiding. At a mean follow-up of 9 months, cough stress test and questionnaire demonstrated complete cure in 70 of 72 @entity1 tested. Pad testing confirmed cure in all of the 46 @entity1 who consented to the test. We conclude that the standard Burch procedure and paravaginal repair can be accomplished safely and with excellent short-term efficacy through a 1.5-2.5 in incision.
