What question did this study set out to answer?

To describe a new surgical technique for addressing stress urinary incontinence and pelvic organ prolapse, and to evaluate its outcomes.

April 13, 2026Open Access

Laparoscopic abdominal colposuspension in female urinary stress incontinence: Description of a novel technique

Key Points

To describe a new surgical technique for addressing stress urinary incontinence and pelvic organ prolapse, and to evaluate its outcomes.
Developed a laparoscopic abdominal colposuspension technique using non-absorbable sutures.
Conducted a clinical evaluation of 19 patients after informed consent.
Utilized dynamic MRI to assess bladder neck descent pre- and postoperatively.
Significant reduction in bladder neck descent from an average of 23.29 mm preoperatively to 9.01 mm postoperatively.
Reduction in pad use from 1.07 to 0.11 pads per patient postoperatively.
Minimal complications were reported, with most patients asymptomatic at three months follow-up.

Abstract

• Surgical Approach: Novel technique with abdominal anchoring by Porras et al. for urinary incontinence and cystocele. • Clinical Outcomes: 19 patients, significant bladder neck stability improvement and reduction in urinary incontinence. • Postoperative Recovery: Minimal pain, low complication rate. • Guideline Alignment: Supports NICE NG123 recommendations. • Future Research: Need for long-term MRI assessments and comparisons with emerging techniques. Laparoscopic abdominal colposuspension is a novel non-mesh surgical technique developed to correct stress urinary incontinence (SUI) and anterior and/or apical pelvic organ prolapse (POP) by suspending the vaginal vault to the anterior abdominal wall with non-absorbable sutures. This article presents the surgical steps through a video demonstration that compiles three representative cases: a patient with a history of hysterectomy and cystocele, another with a preserved uterus, and a patient who required reoperation due to failure after one year. In addition, we report the outcomes of 19 patients who underwent the procedure after providing informed consent. Dynamic magnetic resonance imaging (MRI) demonstrated a significant reduction in bladder neck descent during Valsalva, from a mean of 23.29 ± 9.40 mm preoperatively to 9.01 ± 9.37 mm postoperatively, with improvements of up to 20 mm in some patients. Clinically, pad use decreased from 1.07 ± 0.83 preoperatively (n = 14) to 0.11 ± 0.32 postoperatively (n = 19). Postoperative complications were minimal: six patients required pharmacological treatment for pain (Clavien–Dindo CD grade II), and two experienced severe or very severe abdominal wall pain at the suture exit site requiring infiltration by a pain specialist (CD IIIa). By the three-month follow-up, all but one patient were asymptomatic, with the remaining patient reporting only mild residual discomfort requiring occasional analgesics (CD I). Laparoscopic abdominal colposuspension is a feasible, safe, and effective non-mesh surgical alternative that restores anterior and apical support, improves continence, and enhances quality of life.

Laparoscopic abdominal colposuspension in female urinary stress incontinence: Description of a novel technique

Key Points

Abstract

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