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Is burch procedure w/ hyst really worth it?

From: Maria (anonymous@obgyn.net)
Thu, 4 Jan 2001 10:20:02 -0600 (CST)


I am scheduled to undergo a vaginal hysterectomy (keeping ovaries intact) at the end of this month. I mentioned to my ob/gyn that I have a little leakage when I sneeze, so if she could tighten up some ligaments around my bladder,I thought it would be great. She said she'd have to first conduct a special test on me to determine by bladder control, and if she found it to be weak, she could perform a burch during my hysterectomy. The only problem is she would have to do it laproscopically. Since I'm lucky enough to be able to have my hyst done vaginally, I told her I'd prefer to skip the abdominal incisions of a burch altogether. Am I making a mistake? (P.S. She originally told me that my enlarged uterus is pressing against my bladder during a sneeze, resulting in minor leakage. With the uterus gone, I imagine the bladder wouldn't be pressing against anything during a sneeze, right?)



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