A new method of adjusting mesh tension using cystoscopy during laparoscopic sacrocolpopexy.

ABSTRACT: We aimed to examine the usefulness of cystoscopic findings to guide mesh tension adjustment during laparoscopic sacrocolpopexy (LSC) to promote better repair of pelvic organ prolapse (POP) and prevent de novo stress urinary incontinence (SUI). In this technique, the bladder wall was observed using a cystoscope when various traction pressures were applied by pulling the mesh arm with forceps before fixation to the promontory during LSC. Adjustment was performed on 20 patients, and postoperative outcomes of POP repair and development of de novo SUI were evaluated. When excessive traction was applied on the mesh arm, a bladder neck opening and a cord-like elevation in the center of the trigone and posterior wall were observed in all cases. The tension was gradually loosened, and precisely whe

SUBMITTER: Nomura Y 

PROVIDER: S-EPMC8536586 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature