While performing Burch operation there was significant bleeding and pooting of blood in the space of Retzius. The source of bleeding cannot be visualized. What is the next step in the management?
Call vascular stlrgeon
Give a generalized suture in bleeding area
Lift endopelvic fascia by putting fingers in vagina
Placing surgical drain
Ans. C. Lift endopelvic fascia by putting fingers in vaginaBurch colposuspension (retropubic urethropexy) involves the attachment of the fascia at the level of the bladder neck to the iliopectineal ligament (Cooper's ligantent).lt is an abdorninally perfbrmed surgery for stress urinary incontinence .