An update on the laparoscopic approach to urogynecology and pelvic reconstructive procedures.
OBJECTIVE
To review the evidence behind laparoscopic pelvic organ prolapse and urinary incontinence repair.


RESULTS
A review of the recent literature continues to support the use of laparoscopy for colposuspension and sacral colpopexy as a viable alternative for open surgery. Polypropylene mid-urethral slings are comparable, if not better than laparoscopic Burch, though most data are short-term. The literature regarding other laparoscopic prolapse procedures, such as uterosacral ligament suspension, paravaginal defect repair, and rectocele repair is sparse.


CONCLUSIONS
Short-term studies support the use of laparoscopy in urogynecology and reconstructive pelvic surgery. However, longer term studies are needed to confirm these findings.
Diwadkar
Gouri B
GB
Department of Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA. diwadkg@ccf.org
Chen
Chi Chiung Grace
CC
Paraiso
Marie Fidela R
MF
D015331:Cohort Studies; D005260:Female; D006176:Gynecology / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D016017:Odds Ratio; D010388:Pelvis / Q000601:surgery; D016032:Randomized Controlled Trials as Topic; D019651:Plastic Surgery Procedures / Q000379:methods; D014513:Ureter / Q000601:surgery; D014549:Urinary Incontinence / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D014572:Urology / Q000379:methods*; D014596:Uterine Prolapse / Q000601:surgery