Burch Procedure Specialist

Dr. Daniel Stone, MD FACOG

Urogynecologist located in Phoenix, AZ

Dr. Daniel Stone, MD performs Burch procedures and urethropexies for patients in the Phoenix, Scottsdale and surrounding Arizona areas. These procedures can help patients that suffer from Stress Urinary IncontinenceHe specializes in anti-incontinence procedures and is one of the only providers in Arizona who can provide surgical alternatives to mid-urethral slings such as the Pubovaginal (fascial) sling and the Burch procedure. 

Burch procedure Q&A

  • What is a Burch urethropexy or Burch procedure?

    A Burch procedure, also known as Burch urethral suspension, or Burch urethropexy is a type of surgery called a retropubic urethropexy. It is a procedure used to treat stress urinary incontinence which is leakage with coughing, laughing or sneezing.

  • How is the Burch Procedure performed?

    In this surgery, Dr. Stone attaches the tissue near the urethra to the pectineal ligament (also called Cooper’s ligament) using suture. Traditionally this procedure was done with a large incision in the abdomen, but Dr. Stone performs this surgery laparoscopically, often with da Vinci robotic assistance.

  • What condition does a Urethral suspension or Burch procedure treat?

    The Burch procedure treats stress urinary incontinence which is urinary leakage that occurs with coughing, laughing or sneezing. It is often used when mesh is not desired or contraindicated.

  • Does a Burch Procedure use mesh?

    No mesh is used with a Burch Procedure.

  • What is the recovery like?

    Dr. Stone recommends 6 weeks of no heavy lifting (no more than 15 lbs) and 6 weeks of pelvic rest after this procedure.

  • What are the risks of the Burch Procedure?

    Risks include the following:

    • Pain, swelling, numbness near incision sites
    • Infection
    • Bleeding
    • Damage to nearby organs such as bowel, bladder, and rectum
    • Blood clots and problems related to anesthesia
    • Difficulty emptying the bladder.
      • Short term difficulty (1-3 days) 40%
      • Prolonged difficulty (1-4 weeks) 2%
      • Long term difficulty requiring a urethral release 1%

  • What are the alternatives to this repair?

    There are several alternatives to the Burch procedure that Dr. Stone will discuss with you. Conservative alternatives will include "watching and waiting", pessary placement, pelvic floor physical therapy, and urethral bulking. The primary surgical alternative is a mid-urethral sling, which is made of mesh. Another non-mesh alternative is the pubovaginal (fascial) sling procedure which Dr. Stone performs vaginally but also has to obtain the fascia, usually from the thigh. Dr. Stone will discuss with you the advantages and disadvantages of each approach and individualize his recommendation based on your values, expectations and specific condition.

  • Are there any other surgeries that are commonly performed with a Burch Procedure?

    Yes, rarely is this surgery performed in isolation. Dr. Stone will discuss with you any other surgeries that would be performed at the same time. Other commonly performed surgeries include:

    • Cystoscopy (a camera used to look inside the bladder)

  • Will my insurance company cover the procedure?

    Most insurance policies will cover minimally invasive Burch procedure. Our office will help you with obtaining prior authorization if your insurance policy requires it. If you have further questions, contact your insurance carrier to determine the details regarding your coverage.

Burch Procedure


Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"He actually took the time and listened to me. After the exam he told me that he wanted to try another pessary before committing to surgery. He fit one in and it worked! I haven't felt this good in years. I'm so so grateful to him!"
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"He is one of the most caring docs I've ever been to. I've been struggling with this problem for years and have been to 3 docs before I saw him."
Read More
"Dr. Stone is a really good doctor. After I had the urethra sling surgery Dr Stone called me at home to see how I was doing. The office staff is good. Dr Stone's nurse Iris is really good she returns calls. I will refer my family and friends to this office."
Read More
"Dr. Stone has been wonderful. I was very hesitant at first to see a man but he put me completely at ease. I was able to speak to him about my problem with leakage. He discussed several options and gave me choices which I loved. Eventually I decided on surgery. The surgery went well and I finally have my life back again."
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"I highly recommend him. I will be referring all my loved ones if ever they develop problems."
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"He put us at ease about the surgery by really explaining the procedure in detail to me, my husband and my daughter. He made me feel like I was his only patient."
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"Awesome!! Would give him 10 stars!!!!! Dr. Stone took the time to fully explain medical procedures. He patiently answered all my questions."
Created by potrace 1.15, written by Peter Selinger 2001-2017backgroundLayer 1Read More
"His bed-side manner put me at ease discussing a very embarrassing topic. I'd recommend him to anyone."

Major Insurance Providers Accepted

We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.

Schedule your appointment with Dr. Stone today

One of our staff members will contact you directly. If you have any concerns requiring immediate attention, please don’t hesitate to call us at 602-788-1521.

Office location

Valley Urogynecology Associates

1616 East Maryland Avenue

Phoenix, Arizona 85016-1302

Office Hours: Monday-Friday from 8 AM – 5 PM

Main: (602) 788-1521

Fax: (602) 688-5420

Conveniently located just off Highway 51 on Maryland Avenue just East of 16th Street between East Bethany Home Road and East Glendale Avenue.