Correction of stress urinary incontinence: transperitoneal approach

The options available to correct stress urinary incontinence are numerous. We reviewed the current literature on transperitoneal laparoscopic surgery as a new minimally invasive alternative for the correction of this problem. Transperitoneal laparoscopic colposuspension is technically feasible and has a success rate comparable to that of the traditional open retropubic urethropexy and transvaginal needle suspension techniques. Laparoscopic repair takes longer to complete but minimizes postoperative discomfort, hospital stay, and the time to return of normal activities. There is little blood loss, and the duration of urinary diversion averages 24 to 48 hours, with suprapubic urinary drainage unnecessary. Laparoscopic colposuspension by the transperitoneal approach is a reasonable alternative in treating stress urinary incontinence. Early results are similar to those of open and needle suspension techniques, although longer follow-up is necessary to determine long-term efficacy.