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Related Experiment Videos

Extraperitoneoscopic colposuspension using CO2 distension method

C L Lee1, C F Yen, C J Wang

  • 1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Linkou Medical Center, Taipei, Taiwan.

International Surgery
|December 31, 1998
PubMed
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Extraperitoneoscopic colposuspension is a safe and effective surgical option for genuine stress incontinence. This minimally invasive technique offers a viable alternative to traditional methods with high patient satisfaction.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Gynecology

Background:

  • Genuine stress incontinence affects a significant number of women.
  • Traditional surgical approaches carry risks of complications and discomfort.
  • Minimally invasive techniques are increasingly sought for gynecological procedures.

Purpose of the Study:

  • To validate the efficacy and safety of extraperitoneoscopic colposuspension for genuine stress incontinence.
  • To assess the feasibility of an extraperitoneal approach in colposuspension surgery.

Main Methods:

  • 48 women with genuine stress incontinence underwent extraperitoneoscopic colposuspension.
  • A 10 mm puncture site was used to develop the extraperitoneal space with CO2 insufflation.
  • Sutures were placed at the midurethral and urethrovesical junction with Cooper's ligament.

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Main Results:

  • The procedure demonstrated minimal blood loss (average <50 ml) and a mean operative time of 32 minutes.
  • The overall complication rate was 10.4%, including one bladder injury and cases of voiding difficulties.
  • 45 out of 48 patients reported satisfaction with the surgical outcome.

Conclusions:

  • Laparoscopic Burch colposuspension via an extraperitoneal approach is a practical surgical option for stress incontinence.
  • This technique simplifies suturing, avoids peritoneal entry, and reduces risks of adhesion and pneumoperitoneum discomfort.
  • Extraperitoneal colposuspension offers a valuable alternative to laparoscopic or abdominal retropubic colposuspension for selected patients.