Robotic Burch colposuspension—modified technique
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Burch colposuspension is a reliable alternative to sling procedures for treating women presenting with stress urinary incontinence. But due to ease of midurethral sling procedures, Burch colposuspension has become an infrequently utilized technique . In failed sling procedures, conservative treatment options generally fail and patients require further surgery for improving their continence. Redo tape surgeries are difficult due to fibrosis in the vagina. Burch colposuspension is considered a good alternative when slings fail to correct SUI. The proposed mechanisms of achieving continence are bladder neck elevation and compression of the proximal urethra against the symphysis pubis during stress . With the advent of minimally invasive surgeries this procedure can be done with minimal morbidity; however, laparoscopy is limited by difficult intracorporeal suturing and precise placement of sutures in the pelvis. Robot assisted surgery circumvents such difficulty. We...
KeywordsRobotic surgery Burch colposuspension Stress urinary incontinence
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Conflict of interest
Dr. Girdhar S Bora, Dr. Vijayant Govinda Gupta, Dr. Ravimohan S Mavuduru, Dr. Sudheer S Devana, Dr. Shrawan K Singh and Dr. Arup K Mandal have no conflicts of interest.
All procedures performed in this patient were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
We have not shared any patient photographs in this manuscript; hence, specific consent from the patient for this publication was not obtained.
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