ABSTRACT

After the introduction of laparoscopic colposuspension procedures into the urology practice, the comparison possibility has been emerged of these interventions with the open procedures. In our study, we evaluated early results of the cases, on which laparoscopic retroperitoneal colposuspension procedures were done. Between February 2002-June 2003, we did laparoscopic retroperitoneal colposuspension on total 14 cases who were diagnosed as stress urinary incontinence. All cases were evaluated by detailed history, physical examination (included pad and stress tests), subjective and objective SEAPI scores. The mean age of the cases was 56,2 years (43-67 years). The mean operation time was 46,4 minutes and the mean hospitalization duration was 2,3 days. Any intraoperative complication was not encountered. The urethral catheters were removed from all cases on postoperative first day. All cases could have a micturition spontaneously. The mean postvoiding residual urine measured by ultrasonography was 29,3 ml. At the final evaluation, the mean preoperative subjective SEAPI score was 5,14±1,61; the mean preoperative objective SEAPI score was 2,07±1,77 (p<0,05); the mean postoperative subjective SEAPI score was 3,14±1,16; the mean postoperative objective SEAPI score was 1,14±1,23 (p<0,05). At the end of a mean 9,2 years follow-up, cure was obtained in 12 cases (%85) and partial response in 1 case (%7). The intervention was not successful in 1 case (%7). In 1 case (%7), de novo urge incontinence responded to anticholinergic therapy which occured during the follow-up period. The learning curve of the laparoscopic retroperitoneal Burch colposuspension procedure was low. It may be a surgical therapy alternative in selected cases because of the short operation and hospitalization duration and the lower intraoperative and postoperative complication rates. Long term results obtained from standardised studies including more cases are needed to reveal the proper reliability of the procedure.