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Laparoscopic Burch Procedure

What you should know

A laparoscopic Burch procedure is also known as urinary bladder suspension. This procedure is done to treat stress urinary incontinence and bladder prolapse.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

  • You may bleed more than expected or get an infection. You may have problems during your procedure that may lead to a laparotomy (open surgery). Your bladder or intestines may get injured during the procedure. You may get a blood clot in your leg or arm. This may become life-threatening. After your procedure, your symptoms may only be relieved for a short time, or they may not be relieved at all. Your caregivers may need to do more procedures.

  • Without treatment, you may have difficult, painful, or frequent urination, especially at night. You may continue to leak urine when you cough, sneeze, or laugh. You may also have pain during sex. If you have a prolapse, it may push your bladder out of the vaginal opening even further. This may lead to other serious medical problems.

Getting Ready

The week before your procedure:

  • Write down the correct date, time, and location of your procedure.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • Keep a record of the number of times you urinate each day. You may describe the color and amount of your urine for each time you use the bathroom. Bring this record with you when you see your caregiver.

  • Practice Kegel exercises, and keep doing them even after your procedure. These exercises squeeze your pelvic floor muscles and help them become stronger. Ask your caregiver for more information about Kegel exercises.

  • You may need blood and urine tests before your procedure. You may also need cystoscopy and a chest x-ray. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before your procedure:

  • You may be given medicine to help you sleep.

  • Ask caregivers about directions for eating and drinking.

  • Your bowel may need to be emptied and cleaned out before the procedure. Caregivers may give you a liquid medicine called an enema. This medicine will be put into your rectum to help empty your bowel. Your caregiver will teach you how to do this.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

Treatment

What will happen:

  • Your surgeon will make a small incision below your umbilicus (belly button). He will insert a laparoscope into the incision. A laparoscope is a long metal tube with a light and camera on the end. He will also make 2 to 4 smaller incisions at different places in your abdomen. He will insert other instruments into these incisions. Your abdomen will then be inflated with carbon dioxide gas. The gas will help your caregiver see your organs.

  • Tools are used to place stitches that suspend the bladder and support the pelvic ligaments. Pelvic ligaments are strong muscle-like tissues that support the organs in the abdomen, such as the uterus and bladder. A cystoscopy will be done to check for any damage to the bladder. This is a procedure to examine the inside of your bladder with a scope. The incisions are then closed with stitches or surgical tape and covered with bandages.

After your procedure:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room. The bandages used to cover your stitches keep the areas clean and dry to prevent infection. A caregiver may remove the bandage soon after your procedure to check the incisions.

Contact a caregiver if

  • You cannot make it to your procedure.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your procedure.

Seek Care Immediately if

  • You feel something is bulging into your vagina and not going back in.

  • Your urine is leaking more often than usual.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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