Author/Editor		Barbič, Matija; Kobal, Borut; Cvjetičanin, Branko; Lukanovič, Adolf
Title		Laparoskopska kolposuspenzija
Translated title		Laparoscopic colposuspension
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 8, št. 20-21
Publication year		2003
Volume		str. 107-12
Language		slo
Abstract		Background. Classical colposuspension has been the most popular method of surgical treatment of stress urinary incontinence for years. The opinions on the efficiency of laparoscopic colposuspension vary, yet for its minimal invasiveness the method remains relevant. A detailed description of the technique of laparoscopic colposuspension is provided. In the first 30 patients, we encountered no operative complications. The patients were discharged on the second day after the procedure; none reported any micturition problems at the first follow-up visit. The signs of stress urinary incontinence were found absent in 27 patients, while 3 patients, still having the sings of stress urinary incontinence at the follow-up visit, considered these symptoms less expressed. Conclusion. As the method of treatment laparoscopic colposuspension seems rather promising, a prospective randomised study is required to compare its efficiency with the actually most established minimally invasive method for the treatment of urinary stress incontinence, TVT surgery.
Summary		Izhodišča. Klasična kolposuspenzija je bila dolga leta najpopularnejša metoda operativnega zdravljenja stresne urinske inkontinence. Glede laparoskopsko izvedene kolposuspenzije so mnenja o uspešnosti deljena, je pa metoda zaradi minimalne invazivnosti še vedno aktualna. V članku podrobno opisujemo tehnično izvedbo laparoskopske kolposuspenzije. Pri prvih 30 operiranih bolnicah nismo imeli operativnih zapletov. Bolnice so zapustile bolnišnico drugi dan po posegu, na prvem kontrolnem pregledu po posegu pa niso opisovale morebitnih motenj mikcije. Pri 27 bolnicah po posegu znaki stresne urinske inkontinence niso bili več prisotni, 3 bolnice, pri katerih smo znake stresne urinske inkontinence med pregledom še vedno opazovali, so menile, da so simptomi manj izraženi. Zaključek. Metoda zdravljenja se zdi obetavna, potrebna pa je še prospektivna randomizirana primerjava z danes najbolj uveljavljeno metodo minimalne invazivnosti pri zdravljenju stresne urinske inkontinence, s TVT metodo.
Descriptors		URINARY INCONTINENCE, STRESS LAPAROSCOPY SURGERY, MINIMALLY INVASIVE TREATMENT OUTCOME