[Laparoscopic urethropexis].
Herein we describe a new technique of urethropexy which is performed laparoscopically. The procedure starts with the insertion of a cystoscope and the bladder is filled to determine its limits precisely. The peritoneum is then incised at the level of the urachus until it is opened wide and we advance into the space of Retzius until the entire anterior aspect of the bladder and the urethra are released. A minimal suprapubic transverse skin incision is made up to the fascia. An atraumatic needle with 1-0 vicryl suture is introduced through the incision and grasped with the endoscopic needle holder. A suture is placed in the neck and the needle and suture are brought out at the other end of the incision. Similar sutures, up to a total of four, are placed higher up. They are tied over the fascia and the procedure is completed. This technique has the advantage over the so-called needle techniques in that it permits placing the sutures required in the exact position under visual control. Moreover, the sutures can be tied easily, safely and securely because it is done externally.
Sánchez de Badajoz
E
E
Departamento de Cirugía, Facultad de Medicina, Universidad de Málaga, España.
Jiménez Garrido
A
A
Gutiérrez de la Cruz
J M
JM
D005260:Female; D006801:Humans; D010535:Laparoscopy; D014521:Urethra / Q000601:surgery*
Uretropexia laparoscópica.