Diwadkar Gouri B, Chen Chi Chiung Grace, Paraiso Marie Fidela R
Department of Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Curr Opin Obstet Gynecol. 2008 Oct;20(5):496-500. doi: 10.1097/GCO.0b013e32830fe3a3.
To review the evidence behind laparoscopic pelvic organ prolapse and urinary incontinence repair.
A review of the recent literature continues to support the use of laparoscopy for colposuspension and sacral colpopexy as a viable alternative for open surgery. Polypropylene mid-urethral slings are comparable, if not better than laparoscopic Burch, though most data are short-term. The literature regarding other laparoscopic prolapse procedures, such as uterosacral ligament suspension, paravaginal defect repair, and rectocele repair is sparse.
Short-term studies support the use of laparoscopy in urogynecology and reconstructive pelvic surgery. However, longer term studies are needed to confirm these findings.
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