Endoscopic cystocele surgery: lateral repair with combined suture/mesh technique

The lateral repair is an accepted method for the reconstitution of paravaginal defects. Several open or vaginal approaches have been described, but there is still a deficit of reproducible laparoscopic approaches. Thus, only a few clinics perform the laparoscopic approach although it offers several advantages compared to open or vaginal surgery. This article describes our modified laparoscopic approach with inlay of a polypropylene mesh. Operation time will go on about 50 minutes using the here-presented modified approach. The inlay of a mesh with induction of connective tissue may increase long-term stability.