PFD Week 2018-Laparoscopic Burch Colposuspension: Tips and tricks

Video Transcription

Video Summary

In this video, the laparoscopic birch culpo suspension technique is highlighted as an alternative surgical treatment for stress urinary incontinence without the use of mesh. The video demonstrates the steps involved in the procedure, starting with filling the bladder with sterile water for visualization. Access to the retroperitoneal space is gained through a peritoneal incision, followed by dissection of the space of retzius and isolation of Cooper's ligament. The pubocervical fascia is visualized with the help of a co-surgeon's hand placed vaginally. Vicral sutures are then placed on Cooper's ligament and the pubocervical fascia, and tied down with laparoscopic knot pressure. The peritoneum is closed, and cystoscopy is performed for confirmation. No credits were mentioned in the transcript. (109 words)

Asset Subtitle

Christine Jeanne Horton, MD

Meta Tag

Category Urinary Incontinence

Category Surgery - Laparoscopic Procedures

Concept Burch urethropexy

Concept Stress Urinary Incontinence

Concept Retropubic Space

Concept Pubic Ligament

Concept Pubocervical Fascia

Keywords

laparoscopic birch culpo suspension technique

stress urinary incontinence

mesh-free

retroperitoneal space

Cooper's ligament

Urinary Incontinence

Surgery - Laparoscopic Procedures

Burch urethropexy

Stress Urinary Incontinence

Retropubic Space

Pubic Ligament

Pubocervical Fascia