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.
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.
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.
International urogynecology journal. 2020 Aug 25 [Epub ahead of print]
Athanasios Protopapas, Dimitrios Zacharakis, Konstantinos Kypriotis, Stavros Athanasiou, Ioanna Lardou, Themos Grigoriadis
First Department of Obstetrics and Gynecology, Endoscopic Surgery Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece., First Department of Obstetrics and Gynecology, Urogynecology Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece., First Department of Obstetrics and Gynecology, Urogynecology Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece. .