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Laparoscopic Burch Procedure

WHAT YOU NEED TO KNOW:

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

WHILE YOU ARE HERE:

Before your procedure:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.
  • General anesthesia will keep you asleep and free from pain during your procedure. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

During your procedure:

  • 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 healthcare provider 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. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider 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 healthcare provider may remove the bandage soon after your procedure to check the incisions.

  • You will be able to drink liquids and eat certain foods once your stomach function returns. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.
  • Medicines:
    • Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.
    • Antibiotics help prevent a bacterial infection.
    • Antinausea medicine helps calm your stomach and prevents vomiting.

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 healthcare providers 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.

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.

© 2016 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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