The Burch procedure is performed for which condition?

The Burch procedure is a surgical technique primarily utilized to treat stress incontinence, a condition where involuntary leakage of urine occurs during activities that put pressure on the bladder, such as coughing, sneezing, or exercising. The procedure involves suspending the urethra to support the bladder and prevent involuntary urine loss. This is achieved through the placement of sutures that create a supportive hammock-like effect for the urethra, helping to restore normal function.

In contrast, benign prostatic hyperplasia (BPH), fixation of the humerus, and uterine malignancy are not related conditions for which the Burch procedure would be performed. BPH pertains to prostate enlargement that can affect urination, fixation of the humerus is a procedure related to shoulder injuries, and uterine malignancy involves cancer treatment which typically requires different surgical approaches. Thus, the specificity of the Burch procedure to address the anatomical and functional aspects of stress incontinence firmly establishes it as the correct association for this question.