This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urogynecology, Subject name: Gynaecology & Obstetrics
[{'content': "Among the surgeries of stress incontinence, the long-term success rate is maximum with \nSelect and explain. \nA. Burch's colposuspension, B. Stamey's repair, C. Kelly's stitch, D. Aldridge surgery", 'role': 'user'}, {'content': 'Answer: A \nExplanation: Burch Colposuspension It corrects both stress urinary incontinence and cystocele Not suitable if vagina is narrowed or scarred by previous surgeries Surgery is performed by a low transverse suprapubic incision Procedure: Bladder, bladder neck and proximal urethra are dissected medially off the underlying paravaginal fascia and three or four pairs of non-absorbable or delayed absorbable sutures are inseed between the fascia and ipsilateral iliopectineal ligament This sutures elevates bladder neck and bladder base Disadvantages: Detrusor overactivity may occur denovo or maybe unmasked by the procedure Voiding difficulties may occur 85% success rate is balanced against development of enterocele and rectocele postoperatively It has been superseded by TVT Tape Ref: SHAW&;S TEXTBOOK OF GYNAECOLOGY; 15th edition; Pg no:194', 'role': 'assistant'}]