Laparoscopic Colposuspension for Stress Urinary Incontinence—A Review

Abstract

Laparoscopic colposuspension for stress urinary incontinence appears to have short-term benefits, including a lower perioperative complication rate, shorter hospital stay, and a quicker recovery but seems to be more costly, takes longer to perform, and has a steep learning curve, when compared to open colposuspension. The suture technique appears to be superior to mesh/fibrin sealant. Current evidence suggests that it is as effective as open colposuspension up to 3–5 years postsurgery. Compared to newer, self-fixing suburethral sling procedures, there appears to be no significant difference in subjective cure rates within 18 months to 2 years of follow-up, although significantly higher objective cure rates at 18 months were found with the latter. However, the long-term cure results remain uncertain.