Introduction: Stress urinary incontinence is a matter of grave concern and a social menace for women. The addressal of SUI comes with Burch colposuspension having excellent long term outcomes with few complications. With indocyanine green visualised with near infrared fluorescence, the possibility of genitourinary harm is lessened, making the surgery less complex. The aim of this study is to perform a laparoscopic Burch colposuspension using ICG in patients with SUI and assess postoperative outcomes.

Methods: This is a hospital based prospective cohort study conducted over 3 years wherein 302 women presenting with SUI were enrolled. For an ICG infused bladder, 10 ml of saline was instilled in a vial of ICG, 5ml of this solution was inserted in Foley’s catheter and the same was clamped for two minutes. Laparoscopic Burch colposuspension was done and with an NIRF enabled telescope, bladder was seen in green color. This facilitated precise identification of the bladder during dissection.

Results: Among 302 patients undergoing laparoscopic Burch colposuspension using ICG, there was no evidence of bladder injury, ureteral kinking or urinary tract infections.18 patients (6%) developed urge incontinence and eight patients (2.6%) had voiding dysfunction which was resolved. The cure rate with laparoscopic Burch colposuspension using ICG was 90 percent with a follow up of 3 years.

Conclusion: Laparoscopic Burch colposuspension using ICG has a higher cure rate. This consolidates the safety and efficacy of this procedure encouraging urogynecologists in training to adopt this surgery.

Toshi Jain is a consultant gynecologist specialising in minimally invasive surgeries in gynecology and urogynecology in India. She has been trained in premier institutes in the country, in addition to her training in urogynecology and advanced endoscopy from UKSH, Germany. She has received national academic awards and been a driving force as operating faculty in various endoscopy training programs in India. She has been a key figure in bringing advanced endoscopic surgery to remote areas in the country.