[Laparoscopic colpo-suspension by the Burch technique].

The Burch technique is the reference method for the treatment of exertion incontinence related to cervicocystoptosis. We present an original laparoscopic technique equivalent to the classical open approach. This technique is particularly interesting because a wide pneumoretzius allows adequate access for instruments without being hindered by intestinal loops and the free border of the bladder. Suspension is achieved with non-absorbable mesh bands which are attached to the vagina and Cooper ligaments with staples. The anchoring point is thus larger and the space remains blood free. Fifty nine operations were performed with this technique at the Department of Gynaecology of the University Hospital at Caen, France. No failures have been observed.