What Is Prolapse?

A Lesson In Prolapse Anatomy...

Vaginal & Uterovaginal Prolapse


Repair Goals

Advantages of Laparoscopic Repair

Laparoscopic Surgical Techniques

Landmark Papers by Adlap Surgeons

Landmark Papers by Adlap Surgeons

Correction of genital prolapse
Liu CY, Reich H

J Endourol 1996 Jun;10(3):259-
Massive eversion of the vagina is one of the most disturbing disorders confronting a woman. It is a complex disorder that always coexists with other pelvic floor defects. The management is almost always surgical, and all defects must be repaired concomitantly. Current surgical practice relies primarily on the strength of the endopelvic fascia and certain ligaments, which clearly is not ideal for providing the kind of support needed. Current understanding of the neurophysiology, neuroanatomy, and biophysics of the pelvic floor give us hope that management will be more effective in the future. Laparoscopic repair techniques are described.

Laparoscopic retropubic colposuspension (Burch procedure)
Liu CY, Paek W

J Am Assoc Gynecol Laparosc 1993 Nov;1(1):31-
Laparoscopic retropubic colposuspension (Burch procedure) was performed in 107 patients for the treatment of genuine stress urinary incontinence. The overall success rate was 97.2%, and overall complication rate 10.2%. Patients experienced minimal blood loss, shorter hospital stay, and faster recovery than with the traditional approach by laparotomy, confirming the findings of an initial study of 58 patients. Although follow-up has been relatively short (range 3-27 mo), it appears that laparoscopic retropubic colposuspension is a feasible and safe alternative to the abdominal procedure in appropriately selected patients.

Laparoscopic retropubic colposuspension (Burch procedure).A review of 58 cases
Liu CY

J Reprod Med 1993 Jul;38(7):526-Fifty-eight patients underwent laparoscopic retropubic colposuspension (Burch procedure) for the treatment of genuine urinary stress incontinence. Of these 58 patients, 3 developed postoperative detrusor instability, and another 2 had bladder injuries. The overall complication rate was 8.5%, and the success rate was 94.83%. Our limited experience has shown many advantages of laparoscopic retropubic colposuspension over the traditional abdominal retropubic colposuspension; they include easy access to the space of Retzius, better visibility in the operative field, minimal intraoperative blood loss and postoperative need for pain medication, and shortened hospital stay and recovery period. Most patients were discharged from the hospital within 24-36 hours and resumed normal activities within seven days. Previous major pelvic surgery is not a contraindication to this procedure. Based on our initial experience, laparoscopic retropubic colposuspension appears to be a viable alternative to abdominal retropubic colposuspension.