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Carolina Continence Center

What is the Burch procedure?
The Burch procedure can be done in the open fashion or with the use of the laparoscope or robot.  In either case, permanent suture will be placed beside your urethra and secured to the ligaments attached to your pelvic bones.  Some patients (less than 10 %) may experience difficulty voiding after the procedure and require prolonged catheterization (tube in the bladder).  Infection and bleeding have also be noted, but are rare.  After the surgery, some patients experience uncontrollable bladder contractions (~25% of patient post operatively) that need to be controlled with medications.  The anticipated benefits are that the Burch procedure has the best long term cure rates for either a cystocele or stress urinary incontinence.