Extraperitoneal retropubic laparoscopic urethropexy.
OBJECTIVE
To report long-term follow-up of 300 patients undergoing extraperitoneal retropubic bladder suspension using balloon distention and mesh suspension.


METHODS
Observational study (Canadian Task Force classification II-2).


METHODS
Private practice.


METHODS
Three hundred women with urinary incontinence.


METHODS
Extraperitoneal retropubic bladder neck suspension with mesh, after balloon distention of the space of Retzius performed under general anesthesia in 162 (54%) and epidural anesthesia in 138 (46%).


RESULTS
Eight procedures were converted to open urethropexy, resulting in 259 laparoscopic urethropexies. Spontaneous voiding resumed within 24 hours in 235 patients (90.4%). Follow-up was available for 267 patients and ranged from 1.5 to 5.5 years (mean 3.28 yrs). Of these, 173 women (67%) reported that they were cured and 64 (24.5%) were satisfied with the result; 22 (8.5%) were considered failures.


CONCLUSIONS
Extraperitoneal retropubic bladder neck suspension with mesh results in a durable repair and is associated with relatively short operating time, low morbidity, and excellent patient satisfaction. (J Am Assoc Gynecol Laparosc 8(1):107-110, 2001)
Hannah
S L
SL
Department of Obstetrics and Gynecology, Swedish Medical Center, Englewood, Colorado, USA.
Roland
B
B
Gengenbacher
P M
PM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D013526:Surgical Mesh; D014521:Urethra / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery*