Laparoscopic preperitoneal colposuspension for stress incontinence in women. Technique and results of 37 procedures.

We present an original laparoscopic technique for treatment of stress urinary incontinence in women equivalent to the classical open approach described by Burch. This technique is particularly interesting because a wide pneumoretzius allows adequate access without being hindered by intestinal loops or the free border of the bladder. Suspension is achieved with nonabsorbable mesh bands stapled to the vagina and Cooper's ligaments. Seventy nine operations were performed at the Department of Gynecology of the University Hospital of Caen, France, between 1992 and 1995. The cure rate of the first 37 procedures (with a 18-42-month-long follow-up) is 86%. Of the patients, 22% had low closure pressure and 19% had an unstable bladder. No laparotomy had to be performed.