Related Experiment Video
Updated: Dec 11, 2025
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence
Athanasios Protopapas1, Dimitrios Zacharakis2, Konstantinos Kypriotis1
1First Department of Obstetrics and Gynecology, Endoscopic Surgery Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece.
Aim Of The Video:
In this video we present the surgical management of a 59-year-old woman with stress urinary incontinece (SUI) and pelvic organ prolapse (POP) who had a history of rheumatoid arthritis and endometrial hyperplasia with atypia.
Methods:
A concomitant laparoscopic hysterectomy with bilateral oophorectomy and a multi-compartment laparoscopic native tissue repair of the POP, combined with a Burch urethropexy, was performed to restore pelvic floor defects and treat the underlying endometrial pathology.
Conclusion:
Total laparoscopic multi-compartment repair of POP and/or SUI using native tissue appears to be a viable alternative to both laparoscopic procedures using synthetic meshes and vaginal native tissue repairs. Although not a routine option for the majority of patients with POP and SUI, this procedure may be offered in selected cases, where native tissue repair of the pelvic floor is preferred.
