Athanasios Protopapas1, Dimitrios Zacharakis2, Konstantinos Kypriotis1, Stavros Athanasiou2, Ioanna Lardou1, Themos Grigoriadis3. 1. First Department of Obstetrics and Gynecology, Endoscopic Surgery Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece. 2. First Department of Obstetrics and Gynecology, Urogynecology Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece. 3. First Department of Obstetrics and Gynecology, Urogynecology Unit, Faculty of Medicine, National and Kapodistrian University, Athens, Greece. tgregos@yahoo.com.
Abstract
AIM OF THE VIDEO: In this video we present the surgical management of a 59-year-old woman with stress urinary incontinece (SUI) and pelvic organ prolapse (POP) who had a history of rheumatoid arthritis and endometrial hyperplasia with atypia. METHODS: A concomitant laparoscopic hysterectomy with bilateral oophorectomy and a multi-compartment laparoscopic native tissue repair of the POP, combined with a Burch urethropexy, was performed to restore pelvic floor defects and treat the underlying endometrial pathology. CONCLUSION: Total laparoscopic multi-compartment repair of POP and/or SUI using native tissue appears to be a viable alternative to both laparoscopic procedures using synthetic meshes and vaginal native tissue repairs. Although not a routine option for the majority of patients with POP and SUI, this procedure may be offered in selected cases, where native tissue repair of the pelvic floor is preferred.
AIM OF THE VIDEO: In this video we present the surgical management of a 59-year-old woman with stress urinary incontinece (SUI) and pelvic organ prolapse (POP) who had a history of rheumatoid arthritis and endometrial hyperplasia with atypia. METHODS: A concomitant laparoscopic hysterectomy with bilateral oophorectomy and a multi-compartment laparoscopic native tissue repair of the POP, combined with a Burch urethropexy, was performed to restore pelvic floor defects and treat the underlying endometrial pathology. CONCLUSION: Total laparoscopic multi-compartment repair of POP and/or SUI using native tissue appears to be a viable alternative to both laparoscopic procedures using synthetic meshes and vaginal native tissue repairs. Although not a routine option for the majority of patients with POP and SUI, this procedure may be offered in selected cases, where native tissue repair of the pelvic floor is preferred.
Authors: Guenter Karl Noé; Ibrahim Alkatout; Sven Schiermeier; Stephan Soltécz; Michael Anapolski Journal: Minim Invasive Ther Allied Technol Date: 2018-09-27 Impact factor: 2.442