Technical Skill Development for Laparoscopic Colposuspension

Before doing laparoscopic retropubic procedures, the surgeon should have adequate experience in performing these procedures by laparotomy and experience in performing operative laparoscopic procedures. A surgeon can begin to develop suturing skills on inanimate models in pelvic trainers using laparoscopes, cameras, and video monitors in order to simulate operative conditions and improve depth perception. The next step involves performing laparoscopic retropubic procedures in animal laboratories. Cadaver laboratories are ideal but less accessible. A surgeon should perform initial cases of laparoscopic bladder neck suspension in patients with an experienced advanced laparoscopist. A surgeon gains the most proficiency during the first 20 cases.

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