Dr Hristijan Trpchevski Lecture on Urogynaecology

Modern gynaecological surgery is increasingly moving towards precise, minimally invasive and function-focused procedures, especially when treating conditions that directly affect women’s quality of life. One of these conditions is stress urinary incontinence, a problem many patients remain silent about, even though it can significantly affect daily life, self-confidence, physical activity and intimacy.

As part of the scientific urogynaecology section, which will take place at Hotel “Tsar Samoil” in Strumica on 24 April 2026, Dr Hristijan Trpchevski will deliver a lecture on the topic:

“Laparoscopic Burch Colposuspension and ‘Burch-like TOT’ Modification in the Surgical Treatment of Stress Urinary Incontinence”

The lecture is focused on contemporary surgical approaches in urogynaecology, with emphasis on precision, minimally invasive treatment and the sharing of practical clinical experience.

   

What is stress urinary incontinence?

Stress urinary incontinence is a condition in which involuntary urine leakage occurs during coughing, sneezing, laughing, lifting, physical activity or other situations that increase pressure inside the abdomen.

Although this condition is common, many women accept it as something “normal” after childbirth, with age or after certain gynaecological changes. However, stress urinary incontinence should not be a subject patients feel they must remain silent about. With proper assessment and appropriate treatment, many patients can experience significant improvement in control, comfort and everyday functioning.

Why is urogynaecology important in modern gynaecology?

Urogynaecology is a field that connects gynaecology, surgery and the functional anatomy of the pelvic floor. It deals with conditions such as stress urinary incontinence, uterine or vaginal prolapse, impaired pelvic organ support and other problems that affect women’s health.

These conditions are not only medical diagnoses. They influence how a woman moves, works, exercises, travels, sleeps and feels in her own body. This is why the modern approach does not focus only on anatomical correction, but also on restoring function and improving quality of life.

Laparoscopic Burch colposuspension: a precise minimally invasive approach

Laparoscopic Burch colposuspension is a surgical technique used in the treatment of stress urinary incontinence. The aim of the procedure is to improve support of the urethra and the anterior vaginal wall, reducing involuntary urine leakage during physical effort.

The laparoscopic approach allows treatment through small incisions, with improved visualisation of anatomical structures and greater surgical precision. For patients, minimally invasive surgery often means less operative trauma, faster recovery and a shorter period before returning to daily activities, depending on individual condition and medical assessment.

In these procedures, the surgeon’s experience, knowledge of pelvic anatomy and appropriate patient selection are essential.

“Burch-like TOT” modification: clinical reasoning and surgical adaptation

The topic of Dr Hristijan Trpchevski’s lecture also includes the “Burch-like TOT” modification in the surgical treatment of stress urinary incontinence. This part is particularly important because it reflects surgical thinking that is not only technical, but also clinically adapted.

In urogynaecological surgery, there is no single identical approach for every patient. Differences in anatomy, previous childbirths, previous operations, degree of incontinence and pelvic floor condition require individual assessment.

This is why such lectures have real value: they do not only present theory, but also practical experience from the operating theatre, analysis of approach, selection of technique and the clinical reasoning behind each surgical decision.

 

The importance of sharing clinical experience

Scientific sections and professional meetings play an important role in the development of medicine. They create space for doctors to exchange experience, discuss contemporary approaches and compare different methods of treatment.

The lecture by Dr Hristijan Trpchevski at the urogynaecology section is an opportunity to present a practical surgical approach to a condition that is significant for many patients. The focus is not only on the technique, but also on the purpose of treatment: better function, greater confidence and improved quality of life for women.

Plodnost Hospital and the development of minimally invasive gynaecological surgery

At Plodnost Hospital, minimally invasive gynaecological surgery has an important role in the treatment of different gynaecological conditions. Laparoscopic procedures allow a contemporary approach, precise surgical work and treatment that is directed towards the patient, not only the diagnosis.

The participation of doctors from Plodnost Hospital in scientific sections, lectures and professional gatherings is an important part of continuous development, knowledge exchange and following contemporary medical standards.

The lecture by Dr Hristijan Trpchevski is another example of how clinical experience, surgical practice and scientific discussion connect in the interest of better treatment for patients.

Booking an appointment at Plodnost Hospital

Women who experience involuntary urine leakage when coughing, sneezing, laughing, exercising or during everyday activities should not accept this condition as something that must simply be tolerated.

With timely assessment, gynaecological examination and an individual approach, the most appropriate treatment options can be discussed.

For information and appointments at Plodnost Hospital, please call:

Telephone: +389 47 208 880
Viber/WhatsApp: +389 75 472 503

Plodnost Hospital remains committed to contemporary gynaecological care, professional assessment and treatment guided by the needs of each patient.