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 Incontinence. He 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?
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
- 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:
- Hysterectomy (removal of uterus and/or cervix)
- Bilateral Salpingo-oophorectomy (removal of tubes and ovaries)
- Bilateral Salpingectomy (removal of tubes)
- Other prolapse repair surgeries
- 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.
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.
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.