n Obstetrics and Gynaecology Forum - Role of laparoscopy in urogynaecology : will it replace laparotomy? : review




The aim of pelvic reconstructive surgery is to restore normal anatomy, to relieve symptoms of prolapse and incontinence and to restore the normal function of the lower urinary tract and bowel, and to improve sexual function. Approaches to pelvic reconstructive surgery include the transvaginal, transabdominal, laparoscopic or a combination of these approaches. The transvaginal approach has the advantage of reduced postoperative pain, shorter hospital stay, quicker return to normal activities and no abdominal scars when compared to the abdominal approach. However, the transabdominal approach is associated with better efficacy and long term results. Laparoscopy (minimally invasive surgery) for urinary incontinence and pelvic organ prolapse have gained increasing popularity in the past decades. The laparoscopic approach has been proposed with a view of combining the high efficacy of the transabdominal approach with the minimal invasiveness of the transvaginal technique.


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