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Related Experiment Video

Updated: Apr 28, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Technical video: modified laparoscopic colposuspension.

Andrew Kent¹, Haider Jan¹, Fevzi Shakir¹

¹Department of Obstetrics and Gynecology, Royal Surrey County Hospital NHS Foundation Trust, Guildford, Surrey, England.

Journal of Minimally Invasive Gynecology

|June 8, 2014

Summary

This summary is machine-generated.

This modified laparoscopic colposuspension effectively treats stress incontinence and anterior vaginal wall prolapse. The transperitoneal technique reduces dissection and operative time, offering a favorable outcome for patients.

Keywords:

Laparoscopic modified colposuspension Pelvic floor surgery Stress incontinence

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Area of Science:

Minimally invasive gynecological surgery
Urogynecology
Pelvic reconstructive surgery

Background:

Laparoscopic colposuspension offers an alternative to open procedures for stress urinary incontinence and pelvic organ prolapse.
The Burch colposuspension, described in 1961, is a foundational procedure for treating these conditions.

Observation:

A modified laparoscopic colposuspension technique was demonstrated via video.
The procedure involves specific steps for dissection and suturing using specialized instruments.
The patient presented with second-degree anterior wall prolapse and stress incontinence.

Findings:

The modified technique utilizes methylene blue for bladder identification and the Kent dissecting knotter for efficient dissection.
Sutures are placed on the ileopectineal ligament and paravaginal tissues, with peritoneal defects closed intracorporeally.
At 8 months post-surgery, the patient experienced complete resolution of symptomatic prolapse and stress incontinence.

Implications:

This modified transperitoneal laparoscopic colposuspension is a viable option for treating stress incontinence and pelvic organ prolapse.
The technique's reduced dissection requirements lead to significantly shorter operative times.
This approach may offer improved patient outcomes and recovery.