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Laparoscopic Management of Incontinence and Pelvic Organ Prolapse

FRICK, ANNA C. MD, MPH; PARAISO, MARIE FIDELA R. MD

Clinical Obstetrics and Gynecology: September 2009 - Volume 52 - Issue 3 - p 390-400
doi: 10.1097/GRF.0b013e3181b0bf69
Laparoscopic Surgery

Laparoscopy provides an enticing alternative for incontinence and pelvic floor procedures that would otherwise require a laparotomy or that would be difficult vaginally. Despite some data suggesting lower cure rates with the laparoscopic Burch when compared with the open approach or trans-vaginal tape, the safety and relative efficacy of the laparoscopic procedure support its continued use. Laparoscopic sacrocolpopexy seems to yield comparable outcomes when compared with the open approach and is associated with a shorter hospitalization. Although laparoscopic paravaginal defect, cystocele, and rectocele repairs are technically feasible and may have a role as a concomitant procedure, a vaginal approach is more appropriate for an isolated operation.

Obstetrics, Gynecology and Women's Health Institute, The Cleveland Clinic, Cleveland, Ohio

Correspondence: Anna C. Frick, MD, MPH, Department of Obstetrics and Gynecology, Desk A-81, The Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH.E-mail: fricka@ccf.org

© 2009 Lippincott Williams & Wilkins, Inc.