Retropubic colposuspension was first present by Dr. Burch in 1961(1). Urine retention occurs in 15% to 20% of patients who undergo Burch operation(2). The tension of the suspension determines whether it is difficult to urinate after this surgery, but it not easily to be quantified and taught clinically. We present a simple and effective procedure to resolve this troublesome problem.

Normally, when the patient lies down, the bladder neck will be slightly above the level of the lower edge of the symphysis pubis. With the foley balloon guided, we can easily identify the bladder neck and elevated it just above the level of the lower edge of the symphysis pubis. If putting the cotton swab instead of foley catheter, we also can see its tip moving downward and keep the urethra with a little mobility while this procedure. In this way, its tension can be adjusted to a more appropriate degree.

The surgical technique will be present in video.

The surgical technique will be present in video.

Burch JC. Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele and prolapse. Am J Obstet Gynecol 1961;81:281-290
Lose G., Jorgensen I., Mortensen SO, et al. Voiding difficulties after colposuspension. Obestet Gynecol 1987;69:33-38