Our experience with the application of the extraperitoneal laparoscopic burch colposuspension

Introduction: Recently, there is a considerable interest of the scientific community in the operative treatment of the female stress urinary incontinence, as until 2009, more than 200 surgical techniques have been described. Burch colposuspension and pubovaginal slings are recommended in the recent guidelines of the European Association of Urology. Aim: We describe an extraperitoneal laparoscopic Burch colposuspension modified by us for the operative treatment of the female stress urinary incontinence. Material and Methods: During the period between November 2017 and August 2024, we operated on a total of 27 female patients in the Division of Urology and Gynecology, Clinic of Surgery of the Naval Hospital of Varna, Military Medical Academy of Sofia. They were at a mean age of 56,04±11,22 years (range, 36 to 75 years). Results: Postoperative period was comparatively short. The patients were discharged with a considerable clinical improvement. Conclusion: Our results enable us to draw the conclusion that the extraperitoneal laparoscopic Burch colposuspension modified by us is safe and effective. It could more widely be applied in the Bulgarian urological practice.