TriLift

Benefits and Advantages of Burch Sling Surgery Using the TriLift Device 

  1. Simple and Effective – The procedure is straightforward, offering high efficacy with fewer side effects and complications. 
  1. Reversible – Unlike some other surgical options, this procedure is reversible, providing flexibility for future treatment modifications. 
  1. Nerve-Sparing Technique – Unlike other surgical methods that cut essential perineal and pelvic nerves, the TriLift technique preserves nerve integrity, which is crucial for maintaining urinary continence. 
  1. Cost-Effective – Provides a more affordable alternative to mesh-based procedures without compromising efficacy. 
  1. Versatile Approach – Allows for the integration of multiple techniques, including incontinence surgery and correction of pelvic organ prolapse. 
  1. Alternative to Mesh-Based Procedures – Serves as a replacement for traditional mesh-based techniques such as TOT, TVT, and Altis Sling, which have been associated with complications, high failure rates, and challenges in mesh removal. 
  1. Proven Long-Term Success – Over 20 years of clinical follow-up demonstrate the effectiveness and durability of this surgical approach. 
  1. Regulatory Approval – The TriLift device is FDA-approved and protected under a U.S. patent
  1. Recognized and Published Technique – The procedure was showcased at the ACOG Film Festival in 2002 and has since been adopted as a teaching tool for the American College of Obstetricians and Gynecologists (ACOG). 
  1. Positive Patient Outcomes – Numerous patient testimonials highlight the effectiveness and satisfaction with the procedure. 
  1. Surgeon-Friendly Technique – The learning curve for surgeons is minimal. The adjustable tension of the suture makes it easy to secure, and an assistant can guide the procedure by placing a finger on the urethrovesical junction (UVJ). 

Surgical Approach: 

Burch Sling surgery using the TriLift device creates a sling band, which, postoperatively, transforms into a connective tissue suspensory ligament through the patient’s natural healing process. This ligament, formed using non-absorbable sutures, lifts the perineal and pelvic muscles toward the pelvic brim, restoring the anatomical position typical of a pre-gravida patient. 

Expected Outcomes: 

  1. Increased urethral length – Enhancing support and function. 
  1. Decreased posterior urethrovesical angle (UVA) – Improving continence control. 
  1. Increased resistance at the urethrovesical junction (UVJ) – Enhancing stability and preventing stress urinary incontinence. 

This refined technique provides a safe, effective, and long-lasting alternative to mesh-based procedures, making it a valuable option for patients seeking surgical intervention for urinary incontinence and pelvic organ prolapse.