ABSTRACT
Although many authors have reported excellent short-term subjective results from laparoscopic colposuspension, early studies showed inferior results to the open procedure. The evidence would also appear to suggest that outcomes with colposuspension are significantly better than those achieved with anterior colporrhaphy, needle suspension procedures, paravaginal repair and the Marshall-Marchetti-Krantz procedure. Laparoscopic colposuspension is associated with a lower risk of complications although there is a higher risk of bladder injury. In light of the available evidence the 6th International Consultation on Incontinence concluded that laparoscopic colposuspension has comparable subjective and objective outcomes when compared with open colposuspension in the short to medium term although longer term outcomes are unknown. Common perioperative complications encountered during colposuspension include haemorrhage and lower urinary tract injury.
