Total laparoscopic multi-compartment native tissue repair of pelvic organ prolapse and stress urinary incontinence
| Autor: | Dimitrios Zacharakis, Ioanna Lardou, Athanasios Protopapas, Konstantinos Kypriotis, Themos Grigoriadis, Stavros Athanasiou |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Urology Urinary system Urinary Incontinence Stress 030232 urology & nephrology Urinary incontinence Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Gynecologic Surgical Procedures medicine Atypia Humans Compartment (pharmacokinetics) 030219 obstetrics & reproductive medicine Pelvic floor business.industry Obstetrics and Gynecology Pelvic Floor Middle Aged medicine.disease Endometrial hyperplasia Surgery body regions medicine.anatomical_structure Treatment Outcome Concomitant Rheumatoid arthritis Female Laparoscopy medicine.symptom business |
| Zdroj: | International urogynecology journal. 32(4) |
| ISSN: | 1433-3023 |
| Popis: | 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. 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. 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. |
| Databáze: | OpenAIRE |
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