Dr Jasdev Singh
Burch Colposuspension
This operation lifts and supports the neck of the bladder using stitches, to reduce leaks with coughing or exercise, without using tape or mesh.
Urinary Incontinence
Treating stress incontinence with stitches instead of tape
Burch colposuspension treats stress urinary incontinence. Stitches are placed beside the neck of the bladder and attached to strong ligaments behind the pubic bone. This lifts and supports the area so it closes better under pressure.
For women who prefer to avoid synthetic tape, this is a well established choice.
Dr Jasdev explains how colposuspension compares with a sling and other options for you.
Symptoms understood first
Leaking, bulging or discomfort is assessed carefully, including how much it affects your daily life.
Simpler options considered too
Pelvic floor exercises, physiotherapy and other treatments without surgery are discussed alongside operations.
Recovery planned in advance
You will know what to expect after the procedure and when your review is due.
What colposuspension may offer
- Fewer leaks with coughing, sneezing or exercise
- No synthetic tape or mesh
- A choice that suits women who prefer to avoid tape
How your care is planned
Each stage is explained so you understand the cause of your symptoms, your options and what recovery involves. You can take time to decide.
Confirm stress incontinence with a bladder diary and tests
Perform colposuspension by keyhole or open surgery
Check bladder emptying and review your recovery
How the surgery works
Under general anaesthetic, the space in front of the bladder is reached through keyhole cuts or a small bikini line cut. Stitches lift the tissue beside the bladder neck. A catheter may be used for a short time afterwards. The operation usually takes one to two hours.
Who may benefit
Women with stress incontinence who have not improved enough with pelvic floor exercises and prefer an option without tape. It also suits women having other pelvic surgery at the same time.
What to expect
Most women stay one to three nights. Recovery takes four to six weeks, and heavy lifting should be avoided. Some women find the bladder takes a little time to empty well afterwards.
How Dr Jasdev works with you
He brings gynaecological surgical experience and a calm, private approach to symptoms that many women find hard to talk about. Plans follow current evidence and your own priorities. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia.
What to bring to your appointment
These details help Dr Jasdev understand your symptoms and plan the right tests or treatment. If you cannot find everything, bring what you have.
- A bladder diary of leaks and toilet visits
- Details of previous pelvic surgery
- A list of your medicines
What women often ask
Bladder and pelvic floor problems are common, yet many women wait years before asking about them. These questions can help you start.
How does this compare with a sling?
How long is recovery?
Could it cause other bladder problems?
Will the result last?
Your questions about colposuspension
What is a Burch colposuspension?
It is surgery that uses stitches to lift and support the bladder neck, reducing stress incontinence.
Who is it suitable for?
Women with stress incontinence who prefer not to have tape, or who need other pelvic surgery at the same time.
What tests are needed first?
A bladder diary, a urine test, an examination and sometimes urodynamic tests of bladder pressure.
Is it painful or risky?
Soreness is expected for a few weeks. Risks include difficulty emptying the bladder, an overactive bladder, prolapse at the back of the vagina, infection and bleeding.
Why see Dr Jasdev for colposuspension?
He explains the choice between tape and stitch surgery clearly, so you can decide what suits you.
How do I book?
Call or WhatsApp the clinic, and bring a bladder diary if you can.
This page is general information and does not replace a consultation. Whether a procedure suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Explore options for stress incontinence
Book a consultation to talk through treatment.