When compared with the traditional bladder neck sling and the use of tension free vaginal tape (TVT), the Burch procedure
also compared favorably.
A surgeon doing nothing but laparoscopic Burch procedures
could handle four cases, generate 50 RVUs, and bill for $15,188, Dr.
One of the touted advantages of laparoscopic Burch procedures
for stress incontinence--faster recuperation--may in fact be a detriment, according to Dr.
Rou tine intraoperative cystoscopy to identify lower urinary tract in juries caused during Burch procedures
adds time and expense and is not warranted, Dr.
Earlier results of laparoscopic Burch procedures
have been more equivocal because many of the techniques used were not conventional Burch techniques.
1,2) The mid-urethral sling (MUS) procedures were developed in an effort to provide patients with a less invasive therapeutic option for surgical treatment of SUI than the traditional sling and Burch procedures
, without compromising efficacy.
The results showed that midurethral tapes had significantly higher overall and objective cure rates compared with Burch procedures
(odds ratios [OR] 0.
Walters compared reimbursement for tension-free vaginal tape (TVT) and Burch procedures
For 13 years of clinical practice, I performed Burch procedures
as my surgical technique of choice for treating SUI, and sacrospinous ligament suspensions for vaginal vault prolapse.