What is the primary goal of a Burch procedure?

The primary goal of a Burch procedure is to support the urethra. This surgical technique is primarily utilized to treat stress urinary incontinence, especially in women. The procedure involves placing sutures to create a supportive sling around the neck of the bladder and the urethra. This support is crucial in preventing involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercising.

Supporting the urethra helps restore proper anatomical positioning and function, making it an effective intervention for managing stress incontinence. This procedure does not involve removing the bladder, creating a diversion for urine flow, or directly impacting fertility, which clarifies why those options are less relevant in the context of the Burch procedure.