Related Experiment Video
Updated: Jul 18, 2026
Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
Laparoscopic colposuspension versus vaginal suburethral slingplasty: a randomised prospective trial
Andrew J Foote1, Vicky Maughan, Claire Carne
1Australian National University, and Calvary Hospital, Canberra, Australian Capital Territory, Australia. ajfoote@bigpond.com
Background:
This study aimed to determine if laparoscopic colposuspension (LC) was as effective as vaginal suburethral slingplasty (SPARC).
Methods:
Ninety-seven women with urodynamic stress incontinence were prospectively randomised to LC (n=48) or SPARC (n=49). Outcome measures were measured at, baseline, six months (n=87) and two years (n=58), and comprised leakage episodes per week and visual analogue scale (VAS) of incontinence severity. The LC and SPARC groups at baseline had similar leaks per week (8.8 vs 9.8) and VAS (5.6 vs 5.9).
Results:
Laparoscopic colposuspension took longer to perform (48 vs 30 mins, P<0.001), had a slightly higher blood loss (104 vs 82 mL, P<0.01), had a longer hospitalisation (4.0 vs 1.5 days, P<0.001) and had a longer time to resumption of normal activities (3.6 vs 2.8 week, P<0.01). At six months there were no significant differences between LC and SPARC with regard to leaks per week (1.1 vs 2.6) and VAS (1.3 vs 0.7). The success rates were similar (88.3 vs 81.8%). These results again had no significant differences at two years (leaks per week 2.1 vs 3.5, and VAS 1.7 vs 2.2). At two years, the cure/improved rates again found no significant difference (81.5 vs 77.4%)
Conclusions:
Laparoscopic colposuspension is as effective as vaginal suburethral slingplasty after two years' follow-up.
