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Related Experiment Video

Updated: Aug 29, 2025

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Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch.

Mert Ali Karadag1, Fatih Demir1, Gokhan Sonmez2

  • 1Department of Urology, University of Health Sciences Medical Faculty of Kayseri, Kayseri City Hospital, Kayseri, Turkey.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 8, 2022
PubMed
Summary

The multiple endoclip retraction technique (MERT) offers a safe and effective surgical option for stress urinary incontinence (SUI). One-year follow-up shows significant improvements in SUI symptoms and pad test results.

Keywords:
LaparoscopicStress incontinenceSurgery

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Female Pelvic Medicine

Background:

  • The multiple endoclip retraction technique (MERT) was developed from experience in laparoscopic partial nephrectomy.
  • This study focuses on its application in transperitoneal laparoscopic Burch procedures.

Purpose of the Study:

  • To prospectively evaluate the one-year outcomes of the multiple endoclip retraction technique (MERT) for treating stress urinary incontinence (SUI).

Main Methods:

  • Patients underwent transperitoneal laparoscopic Burch with MERT.
  • Postoperative evaluations included stress tests, one-hour pad tests, and the ICIQ-SF questionnaire at 3, 6, and 12 months.

Main Results:

  • Statistically significant improvements were observed in stress tests and pad weight at all follow-up points.
  • ICIQ-SF scores showed significant improvement at 3 months in recovered patients, with sustained results.
  • No significant differences in outcomes were noted based on age, parity, or BMI.

Conclusions:

  • The multiple endoclip retraction technique (MERT) appears to be a safe and effective modification for managing SUI.
  • Good one-year outcomes can be achieved when MERT is performed by experienced surgeons.