Stress urinary incontinence (SUI) is a prevalent condition among women, significantly affecting their quality of life. Laparoscopic Burch colpo-suspension is a minimally invasive surgical option that offers potential benefits over traditional open procedures. This study aims to evaluate the safety and efficacy of laparoscopic Burch colpo-suspension  in treating SUI.

This is a prospective single-arm study involving 30 female patients diagnosed with pure SUI or mixed urinary incontinence with predominant stress incontinence. Patients were assessed pre-operatively using clinical examination, urodynamic studies, and validated questionnaires. The  procedure was performed laparoscopically using non-absorbable sutures anchored to Cooper’s ligaments to support and elevate the urethro-vesical junction. Postoperative follow-ups were conducted at 1, 3, and 6 months to evaluate Primary outcomes included improvements in SUI symptoms assessed through patient-reported measures and objective tests such as the cough stress test and pad weight test. Secondary outcomes measured operative time, hospital stay duration, and complications, including bladder injury, infection, and urinary retention.

Our study included 30 female patients .The average operative time was 38.6 minutes. Average hospital stay was  1 day. Average  body mass index (BMI) was 28.7. Most patients had stress incontinence as the primary complaint (25 patients ), with a minority presenting with mixed incontinence (5). Evaluation of Success Rate (Dry Patients): At 1 Month: 80%, At 3 Month: 86.6%, At 6 Months: 86.6% respectively. Uro-flowmetry  (Qmax) values ranged from 15–24 mL/s. Persistent Stress Urinary Incontinence at 3 Months and 6 months: 4 cases. No statistically significant reported  complications ( blood loss , bladder injury and no significant postoperative complications were documented)

After 6 months,  26 patients  (86.7%) described themselves as "dry" with only 4 patients (13.3%)reporting some degree of urinary incontinence. No  statistically significant reported  complications were reported.

Laparoscopic Burch colpo-suspension is a safe and effective surgical option for managing SUI, offering potential advantages in terms of reduced morbidity, shorter hospital stays, and improved patient recovery.