Simplification of laparoscopic extraperitoneal colposuspension: results of two-port technique.
OBJECTIVE
The aims of the present prospective study were to apply a new simplification for Laparoscopic Burch Colposuspension and to assess the postoperative results of this treatment modality for stress urinary incontinence.


METHODS
Twenty-four patients underwent simplified laparoscopic procedure via two ports, utilising endoscopic tacker and two stripes of prolene mesh. Patients were evaluated for operative time, duration of urethral catheter, length of hospital stay, complications and continence status.


RESULTS
The technique was successful in 21 patients after 24 months follow-up. Average operative time was 39 minutes. The lengths of urethral catheterisation and hospital stay were 22 and 45 hours, respectively. One operative complication and three postoperative recurrences were recorded.


CONCLUSIONS
Laparoscopic bladder neck suspension continues to develop as the instruments and techniques are improved. In carefully evaluated patients, it provides safe and minimally invasive procedure. We report the results of a new technique to simplify and speed up a laparoscopic extraperitoneal colposuspension.
Batislam
E
E
Department of Urology University of Kirikkale, Faculty of Medicine, Turkey.
Germiyanoğlu
C
C
Erol
D
D
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010537:Peritoneum; D011446:Prospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery*