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CC BY 4.0 · Rev Bras Ginecol Obstet 2022; 44(05): 511-518
DOI: 10.1055/s-0042-1744312
Review

Burch Procedure: A Historical Perspective

Procedimento de Burch: Uma perspectiva histórica
Gisele Vissoci Marquini 
1   Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
,
Zsuzsanna Ilona Katalin de Jarmy di Bella 
1   Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
,
Marair Gracio Ferreira Sartori 
1   Department of Gynecology, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
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Abstract

Introduction The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001.

Objective This historical perspective of the Burch's timeline can encourage urogynecological surgeons to master the Burch technique as one of the options for surgical treatment of SUI.

Search Strategy and Selection Criteria A bibliographic search was performed in the PubMed and National Library of Medicine (NIH) databases with the terms Burch colposuspension AND history AND stress urinary incontinence in the last 20 years. The original article by Burch (1961) was included. The references were read by three authors. The exclusion criterion was studies in non-English languages. Biomedical Library Special Collections were included as historical relevant search.

Data Collection, Analysis and Main Results Some modifications of the technique have been made since the Burch procedure was first described. The interest in this technique has been increasing due to the negative publicity associated with vaginal synthetic mesh products. Twenty-nine relevant articles were included in the present review article, and numerous trials have compared Burch colposuspension with MUS.

Conclusion This historical perspective enables the scientific community to review a standardized technique for SUI. Burch colposuspension should be considered an appropriate surgical treatment for women with SUI, and an option in urogynecological training programs worldwide.

Resumo

Introdução O procedimento de Burch (1961) foi considerado o tratamento padrão ouro para a incontinência urinária de esforço (IUE) antes da introdução dos slings de uretra média (SUMs), em 2001.

Objetivo Esta perspectiva histórica da linha do tempo do procedimento de Burch pode encorajar os cirurgiões uroginecológicos a dominar a técnica deste procedimento como uma das opções para o tratamento cirúrgico da IUE.

Estratégia de busca e critérios de seleção A busca bibliográfica foi realizada nas bases de dados PubMed e National Library of Medicine (NIH) com os termos Burch colposuspension AND history AND stress urinary incontinence nos últimos 20 anos. O artigo original de Burch (1961) foi incluído. As referências foram analisadas por três autores com exclusão de estudos em idiomas diferentes do inglês. Coleções de bibliotecas biomédicas foram incluídas por ordem de relevância histórica.

Coleta de dados, análise e principais resultados Algumas modificações de técnica foram realizadas desde que o procedimento de Burch foi inicialmente descrito. O interesse por essa técnica vem aumentando devido à publicidade negativa associada aos produtos de tela sintética vaginal. Vinte e nove artigos relevantes foram incluídos, e vários estudos compararam a colposuspensão de Burch com SUMs.

Conclusão Essa perspectiva histórica possibilita à comunidade científica revisar uma técnica padronizada para a IUE. A colposuspensão de Burch pode ser considerada um tratamento cirúrgico adequado para mulheres com IUE, e uma opção em programas de treinamento uroginecológico em todo o mundo.

Keywords

surgical therapy - stress urinary incontinence - surgery - history - burch colposuspension

Palavras-chave

terapia cirúrgica - incontinência urinária de esforço - cirurgia - história - Burch colposuspension


Publication History

Received: 04 May 2021

Accepted: 03 November 2021

Article published online:
18 February 2022

© 2022. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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