Study Objective. To describe the technique of laparoscopic suburethral sling and discuss patient satisfaction and subjective continence rates over 7 years. Design. Retrospective analysis (Canadian Task Force classification III). Setting. Private practice. Patients. Sixty-three consecutive patients. Intervention. Laparoscopic sling procedure using either autologous or donor fascia. Measurements and Main 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. Conclusion. The laparoscopic approach is an acceptable alternative to other suburethral sling procedures.
|Original language||English (US)|
|Number of pages||5|
|Journal||Journal of the American Association of Gynecologic Laparoscopists|
|State||Published - Nov 2003|
ASJC Scopus subject areas
- Obstetrics and Gynecology