ABSTRACT
INTRODUCTION Burch Colposuspension: The Evolution of a Procedure In 1961, Burch (1) published the development of a new technique for colposuspension, based on a technique started in 1958. A paramedian incision was used to enter the abdomen and space of Retzius. He instilled 50 cc of milk in the bladder to identify possible perforations. The periurethral tissue was cleaned off and then three 2.0 chromic sutures were placed at the midurethra and the bladder neck. These sutures were fixed to Cooper’s ligament. In 1968, Burch (2) reported a subjective cure rate of 92% in 143 patients with 10 to 60 months of follow-up.
