Laparoscopic suburethral sling procedure.
OBJECTIVE
To describe the technique of laparoscopic suburethral sling and discuss patient satisfaction and subjective continence rates over 7 years.


METHODS
Retrospective analysis (Canadian Task Force classification III).


METHODS
Private practice.


METHODS
Sixty-three consecutive patients.


METHODS
Laparoscopic sling procedure using either autologous or donor fascia.


RESULTS
The space of Retzius is entered laparoscopically. Then from a vaginal approach, a small midline vertical incision is made below the urethra, and vaginal epithelium is dissected off underlying periurethral and paravesical fascia. Material for the sling is passed underneath the urethra and secured laparoscopically to Cooper's ligaments bilaterally. Over 7 years, 63 laparoscopic suburethral sling procedures were performed. Overall, patients reported 88.9% satisfaction rate and 81.0% subjective continence rate.


CONCLUSIONS
The laparoscopic approach is an acceptable alternative to other suburethral sling procedures.
Phelps
John Y
JY
Chattanooga Women's Laser Center, Chattanooga, Tennessee, USA.
Lin
Lawrence
L
Liu
C Y
CY
D000368:Aged; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D014522:Urethral Diseases / Q000150:complications / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*