Objective      To compare the efficacy and safety of laparoscopic retropubic bladder neck suspension (Burch) and mid-urethral suspension（MUS） in the treatment of female stress urinary incontinence (SUI) so as to clarify the clinical value of two kinds of suspender surgery.       Methods      Clinical data of 114 SUI cases who were operated in our department during January 2005 to June 2010 were retros

pective analyzed. Among them

59 patients received laparoscopic Burch

and the other 55 cases mid-urethral suspension. Their perioperative situation and surgery efficiency were compared.       Results      In the mean follow-up time of 33 months (ranging from 12 to 77 months)

the overall response rate were 93% (40/43) and 100% (51/51) respectively in laparoscopic Burch and MUS surgery

with no significant difference (

P

>0.05). The cure rates were 53.5% (23/43) and 84.3% (43/51) respectively

with significant difference between them (

P

<

0.05). In laparoscopic Burch group

bladder vaginal fistula occurred in 1 case

suture erosion into the bladder in 2 cases

dysuria in 1 case

and incomplete unilateral ureteral obstruction in 1 case. While no severe complication was found in MUS group. Among the 42 cases which were independently performed for suspender surgery

besides the operating time longer in the laparoscopic Burch group than in MUS group

there was no significant difference in other surgical parameters (

P

>0.05).       Conclusion      Laparoscopic Burch surgery has wild range of indications

but longer operative time

more blood loss

slower postoperative recovery times

but lower cost of hospitalization when compared with MUS. MUS is a simple

safe surgery with high efficacy

quick recovery

shorter indwelling catheter and hospital stay

less postoperative complications and voiding dysfunction

but has higher hospital charges.