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Published in: International Urogynecology Journal 4/2021

01-04-2021 | Stress Incontinence | IUJ Video

Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence

Authors: Athanasios Protopapas, Dimitrios Zacharakis, Konstantinos Kypriotis, Stavros Athanasiou, Ioanna Lardou, Themos Grigoriadis

Published in: International Urogynecology Journal | Issue 4/2021

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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.
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Literature
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go back to reference Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B. et al. (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5–26. https://doi.org/10.1007/s00192-009-0976-9 Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B. et al. (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5–26. https://​doi.​org/​10.​1007/​s00192-009-0976-9
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go back to reference Shull BL, Bachofen C, Coates KW, Kuehl TJ. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol. 2000;183:1365–73.CrossRef Shull BL, Bachofen C, Coates KW, Kuehl TJ. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol. 2000;183:1365–73.CrossRef
Metadata
Title
Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence
Authors
Athanasios Protopapas
Dimitrios Zacharakis
Konstantinos Kypriotis
Stavros Athanasiou
Ioanna Lardou
Themos Grigoriadis
Publication date
01-04-2021
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 4/2021
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04506-y

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