BURCH COLPOSUSPENSION IS THE CLASSIC OPERATION FOR STRESS INCONTINENCE IN WOMEN . IN THIS OPERATION, THE SURGEON PUTS THE FINGERS OF THE LEFT HAND INTO THE VAGINA TO LIFT IT UPWARDS TO TAKE STITCHES BY THE RIGHT HAND SO THAT THE BASE OF THE BLADDER IS REPOSITIONED . AND THUS, CONTROL OF URINE IS RESTORED. THIS OPERATION IS DIFFICULT, EXHAUSTING AND ACCOMPANIED BY SIGNIFICANT BLOOD LOSS, BESIDES THE POTENTIAL RISK OF NEEDLE ACCIDENTS. THE VAGINAL MANIPULATOR ELIMINATES THIS RISK . IT CAN ALSO ALLOW CONTROL OF BLEEDING AND TAKING WIDER DEEPER STITCHES THROUGH THE GROOVE ON ITS TIP . THUS FACILITATING THE MOST IMPORTANT OPERATION FOR STRESS INCONTINENCE.