Indications

After the diagnosis of urodynamic stress incontinence has been made and the patient has opted for surgical management, the choice of laparoscopic versus open retropubic colposuspension depends on several factors: previous pelvic or anti-incontinence surgery; history of severe abdominopelvic infection or known extensive abdominopelvic adhesions; patient ability to undergo general anesthesia; need for concomitant abdominal, pelvic, or vaginal surgery; patient preference, and operator experience and preference.3 Most laparoscopic colpo-suspensions have been done for primary stress incontinence because of difficulty in dissecting retropubic adhesions; however, dissection of the space of Retzius seems easier even when compared with open access once a surgeon has gained sufficient experience. I prefer the laparoscopic Burch colposuspension rather than mid urethral slings for the treatment of stress-provoked detrusor overactivity.

Biofeedback Mastery

Biofeedback Mastery

Have you ever wondered what Biofeedback is all about? Uncover these unique information on Biofeedback! Are you in constant pain? Do you wish you could ever just find some relief? If so, you are not alone. Relieving chronic pain can be difficult and frustrating.

Get My Free Ebook


Post a comment