An update on the laparoscopic approach to urogynecology and pelvic reconstructive procedures

Curr Opin Obstet Gynecol. 2008 Oct;20(5):496-500. doi: 10.1097/GCO.0b013e32830fe3a3.

Abstract

Purpose of review: To review the evidence behind laparoscopic pelvic organ prolapse and urinary incontinence repair.

Recent findings: 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.

Summary: Short-term studies support the use of laparoscopy in urogynecology and reconstructive pelvic surgery. However, longer term studies are needed to confirm these findings.

Publication types

  • Review

MeSH terms

  • Cohort Studies
  • Female
  • Gynecology / methods*
  • Humans
  • Laparoscopy / methods*
  • Odds Ratio
  • Pelvis / surgery
  • Plastic Surgery Procedures / methods
  • Randomized Controlled Trials as Topic
  • Ureter / surgery
  • Urinary Incontinence / surgery*
  • Urologic Surgical Procedures / methods
  • Urology / methods*
  • Uterine Prolapse / surgery