Related Experiment Videos
Extraperitoneal approach to laparoscopic Burch colposuspension
1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan.
Study Objective:
To evaluate 3-year outcomes of extraperitoneal laparoscopic colposuspension in treating genuine stress incontinence.
Design:
Retrospective review (Canadian Task Force classification II-2).
Setting:
University-based, tertiary-level center for endoscopic surgery.
Patients:
One hundred sixty women with genuine stress incontinence with bladder neck hypermobility.
Intervention:
Extraperitoneal space was created with CO2 through a 10-mm midline port 2 cm above the pubic hairline. A pair of sutures was inserted at the level of midurethral and urethrovesical junction, fixing them to Cooper's ligament on each side with proper tension.
Measurements And Main Results:
Of 160 women, 10 were lost to follow-up. On follow-up questionnaire sent to 150 patients, 148 (98.7%) were pleased with the results of surgery. Stress incontinence was cured in 136 women (90.7%) after a minimum of 3 years' follow-up.
Conclusion:
Cure rates for extraperitoneal colposuspension were similar to those reported for traditional laparoscopic or laparotomy Burch procedures; however, this is a more direct method to expose the space of Retzius, thus eliminating the need to open and close peritoneum.