About Open Burch Colposuspension
Key Highlights
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High long-term success rate for curing stress urinary incontinence.Provides durable anatomical support to the bladder neck and urethra.Considered a gold-standard open surgical treatment.Uses permanent sutures for lasting support.Can be combined with other pelvic floor surgeries if needed.
Who is this surgery for?
- Moderate to severe stress urinary incontinence (SUI) confirmed by urodynamic studies.
- Failure of conservative treatments like pelvic floor physiotherapy or pessaries.
- Intrinsic sphincter deficiency.
- Recurrent stress incontinence after previous failed surgeries.
- When performed concurrently with an abdominal procedure for pelvic organ prolapse.
How to prepare
- Complete pre-operative medical evaluation, including blood tests and ECG.
- Thorough urodynamic testing and cystoscopy to confirm diagnosis.
- Discussion of anesthesia options (typically general or spinal).
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised.
- Fasting for 8-12 hours before surgery.
- Bowel preparation may be required.
- Informed consent process detailing risks, benefits, and alternatives.
Risks & possible complications
- General surgical risks: bleeding, infection, blood clots (DVT/PE).
- Anesthesia-related complications.
- Injury to nearby organs (bladder, urethra, bowel, blood vessels).
- Development of new-onset urge incontinence or overactive bladder symptoms.
- Urinary retention requiring temporary catheterization.
- Voiding dysfunction or difficulty emptying the bladder.
- Rare risk of suture erosion into the vagina or bladder.
- Recurrence of incontinence over time.
- Pain or discomfort at the incision site.
Recovery & hospital stay
- Hospital stay typically required for monitoring and pain management.
- A urinary catheter remains in place for 1-3 days post-surgery.
- Pain is managed with prescribed medications.
- Patients are encouraged to walk early to prevent blood clots.
- Avoid heavy lifting, strenuous exercise, and sexual intercourse for 6-8 weeks.
- Follow a high-fiber diet and stool softeners to avoid straining during bowel movements.
- Regular follow-up visits to monitor healing and bladder function.
- Pelvic floor exercises are often recommended once healed to maintain strength.
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Typical hospital stay: 3-5 days
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Expected recovery time: 4-6 weeks for normal activities, 8-12 weeks for full recovery
Frequently Asked Questions
If you are considering open burch colposuspension in India, these questions and answers can help you make a confident, informed decision.
Popular choices for open burch colposuspension in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform open burch colposuspension. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for open burch colposuspension compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 80 Thousand – 200 Thousand | 3-5 days | ~ 4-6 weeks for normal activities, 8-12 weeks for full recovery | Know More |
| Turkey | TRY 280 Thousand – 700 Thousand | 3-5 days | ~ 4-6 weeks for normal activities, 8-12 weeks for full recovery | Know More |
Top hospitals for Open Burch Colposuspension in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing open burch colposuspension.
Patient Name: Aarav Brown. Age: 68...
Patient Name: Aarav Brown. Age: 68. Background: A retired history teacher and avid gardener, living with his wife of 45 years. Symptoms/History: For the last 8 years, Aarav has struggled with severe stress urinary incontinence. A simple cough, laugh, or bending to tend his roses would cause significant leakage. He had to wear bulky pads constantly, which chafed and limited his outings. He'd tried pelvic floor physiotherapy with only modest improvement. Doctor Recommendation: His urogynaecologist, after urodynamic testing confirmed a hypermobile urethra with poor sphincter function, recommended an Open Burch Colposuspension as the gold-standard, durable surgical option for his anatomy. Treatment Experience: Aarav was anxious but hopeful. The open abdominal procedure under general anaesthesia took about 90 minutes. He woke up sore, with a catheter and an abdominal incision. Post-procedure Recovery Outcome: He stayed in hospital for 4 days. The catheter was removed successfully before discharge. Initial recovery at home was slow for 6 weeks, with lifting restrictions. By 3 months, his strength returned. The outcome was excellent, his incontinence was completely resolved. Emotional Journey: Before, Aarav felt his condition was a humiliating, silent thief of his dignity and active retirement. He withdrew from social clubs and felt like a burden. After, though the recovery was challenging, regaining control was transformative. He feels a profound sense of freedom and has confidently returned to his garden and community, his self-esteem fully restored.
Obstetrics and Gynaecologists for Open Burch Colposuspension
Explore experienced obstetrics and gynaecologists who regularly perform open burch colposuspension and provide pre- and post-operative care in India.
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Old Airport Road, Bangalore
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Manipal Hospital Old Airport Road, Bangalore