Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence
- PDF / 190,634 Bytes
- 3 Pages / 595.276 x 790.866 pts Page_size
- 64 Downloads / 222 Views
IUJ VIDEO
Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence Athanasios Protopapas 1 & Dimitrios Zacharakis 2 & Konstantinos Kypriotis 1 & Stavros Athanasiou 2 & Ioanna Lardou 1 & Themos Grigoriadis 2 Received: 4 June 2020 / Accepted: 17 August 2020 # The International Urogynecological Association 2020
Abstract 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. Keywords Laparoscopic hysterectomy . Uterosacral ligament suspension . Multi-compartment pelvic organ prolapse . Laparoscopic anterior colporraphy . Burch urethropexy . Native tissue repair
Aim of the video Surgical treatment of women with multi-compartment pelvic organ prolapse (POP) and stress urinary incontinence (SUI) includes various transvaginal, abdominal, laparoscopic and robotic approaches, using native tissue or mesh-augmented techniques [1]. The choice of the surgical procedure should respect the anatomical type of the pelvic floor dysfunction but
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00192-020-04506-y) contains supplementary material. This video is also available to watch on http://link.springer. com/. Please search for this article by the article title or DOI number, and on the article page click on ‘Supplementary Material’. * Themos Grigoriadis [email protected] 1
First Department of Obstetrics and Gynecology, Endoscopic Surgery Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece
2
First Department of Obstetrics and Gynecology, Urogynecology Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece
is also affected by other parameters, including age, presence of medical comorbidities, associated pelvic pathologies, sexual activity and desire for future pregnancy. Recently, concerns regarding the safety of synthetic meshes used in transvaginal POP reconstructive surgery were raised, leading to restrictions of their use by various regulatory bodies. Moreover, surgeons in Scotland and England are currently dealing with a ban on synthetic tension-free mid-urethral slings for the treatment of stress urinary incontinence
Data Loading...