Modified Burch Colposuspension

Operation Concept: Elevation of the vaginal fascia on both sides lateral to the cystourethral junction to suspend the bladder neck. Contrary to the original method of Burch the vaginal fascia will not be completely attached to the Lig. Iliopectinum (=Cooper ligament), you pull the knot only until you create a kind of hammock under the bladder neck. Use only non-resorbable sutures. If there is also a prolapse the operative treatment of the incontinence should be part of the operation plan. The open colposuspension is the most effective operative incontinence therapy. This is valid for the primary situation as well as the relapse situation.