In 1832 Gensoul1 introduced the first procedure of treatment of the female urinary incontinence and since then many surgical techniques have been presented. After the original description by Burch2, in 1961, several modifications of the surgical procedure have been introduced. The Burch procedure resolved the problem of hypermobility of the urethrovesical junction and correcting a coexistent cystocele. This technique presents advantages because its fixation is in the strong periosteal support (Cooper’s ligament). An additional advantage includes a high success rate, but it has many disadvantages such as discomfort of a skin incision, the length of the surgical procedure and hospitalization, and slow return to activities.
We describe a new method using a laparoscopic-assisted extraperitoneal route, to modify the Burch procedure.