Laparoscopic Burch Colposuspension Versus Modified Burch Colposuspension

This study aims to compare the success rate and complications following laparoscopic standard Burch colposuspension and laparoscopic modified Burch colposuspension (Transobturator tape like)

Inclusion Criteria:Women with genuine stress urinary incontinence.Mixed urinary incontinence with predominant stress element.Refractory cases to conservative therapy or patients who are not willing to consider (further) conservative treatment.Exclusion Criteria:Mixed incontinence with predominant Urge urinary incontinence.Recent pelvic surgery (less than 3 months).Neurogenic lower urinary tract dysfunction.Previous surgery for stress urinary incontinence.PregnancyLess than 12 months post-partum.Other gynaecologic pathologies affecting bladder functions ( eg, fibroids, ovarian cysts)Genito-urinary malignancy.Current chemo or radiation therapy.