Incontinence | Female | Retropubic Suspension (Burch)

Description of Procedure

A Burch Retropubic Bladder Suspension is a surgical procedure to lift the bladder neck back into its proper position with the use of sutures applied through an open incision (usually a "bikini-type" incision, called a Pfannensteil incision). These sutures are then placed through strong ligaments behind the pubic bone, called "Cooper's ligaments". The incision is then closed, either with staples for the skin or absorbable sutures.

 

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After Procedure

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What to Expect

  • You will be in hospital for 2 - 3 days on average.
  • You may need to go home with a catheter for a few days. 
  • Your urologist will discuss with you proper dressing and wound care before you go home.
  • With your bladder in a "new" position, it is normal to have some increased urgency to void for several weeks.

 

Cautions

  • You may shower or sponge bath after you go home, but do not bathe until your urologist says it is OK to do so.
  • You should not exercise or lift more than 10 lbs. for 6 weeks.
  • You should not drive for at least 2 weeks, and avoid long drives for 6 weeks.

 

Diet

  • As for any open surgery, you can progress your diet as tolerated, but it is advised that you avoid constipating foods.
  • Drink normal amounts of fluids.

 

Activity

  • You should not exercise or lift more than 10 lbs. for 6 weeks.
  • You should not drive for at least 2 weeks, and avoid long drives for 6 weeks.

 

Medications

  • Your urologist will prescribe pain medications for you as needed. Usually by 3 - 5 days after surgery, plain Tylenol should suffice.
  • Use stool softeners as needed.

 

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