Extraperitoneal approach to laparoscopic Burch colposuspension.
OBJECTIVE
To evaluate 3-year outcomes of extraperitoneal laparoscopic colposuspension in treating genuine stress incontinence.


METHODS
Retrospective review (Canadian Task Force classification II-2).


METHODS
University-based, tertiary-level center for endoscopic surgery.


METHODS
One hundred sixty women with genuine stress incontinence with bladder neck hypermobility.


METHODS
Extraperitoneal space was created with CO2 through a 10-mm midline port 2 cm above the pubic hairline. A pair of sutures was inserted at the level of midurethral and urethrovesical junction, fixing them to Cooper's ligament on each side with proper tension.


RESULTS
Of 160 women, 10 were lost to follow-up. On follow-up questionnaire sent to 150 patients, 148 (98.7%) were pleased with the results of surgery. Stress incontinence was cured in 136 women (90.7%) after a minimum of 3 years' follow-up.


CONCLUSIONS
Cure rates for extraperitoneal colposuspension were similar to those reported for traditional laparoscopic or laparotomy Burch procedures; however, this is a more direct method to expose the space of Retzius, thus eliminating the need to open and close peritoneum.
Lee
C L
CL
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan.
Yen
C F
CF
Wang
C J
CJ
Jain
S
S
Soong
Y K
YK
D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014621:Vagina / Q000601:surgery