URETERAL INJURY AT BURCH COLPOSUSPENSION - 4 CASE-REPORTS AND LITERATURE-REVIEW

The Burch colposuspension operation is an accepted and effective techn ique for the correction of genuine stress incontinence. It is, however , associated with a number of well-recognized complications. Ureteric injury at the time of colposuspension is a potentially severe, if unco mmon, complication of this procedure with legal ramifications for the surgeon as well as health risks for the patient. To date, only 19 case s have been described in the literature. This paper highlights 4 cases of this injury occurring amongst the patients of 1 urogynaecologist ( 2) and gives an incidence for its occurrence as well as discussing the aetiology and management of this complication.