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Updated: Jun 30, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
An update on the laparoscopic approach to urogynecology and pelvic reconstructive procedures
Gouri B Diwadkar1, Chi Chiung Grace Chen, Marie Fidela R Paraiso
1Department of Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA. diwadkg@ccf.org
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.
