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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References
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Protopapas, A., Zacharakis, D., Kypriotis, K. et al. Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence. Int Urogynecol J 32, 1039–1041 (2021). https://doi.org/10.1007/s00192-020-04506-y
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DOI: https://doi.org/10.1007/s00192-020-04506-y