An update on the laparoscopic approach to urogynecology and pelvic reconstructive procedures.

PURPOSE OF REVIEW: To review the evidence behind laparoscopic pelvic organ prolapse and urinary incontinence repair.

RECENT FINDINGS: A review of the recent literature continues to support the use of laparoscopy for colposuspension and sacral colpopexy as a viable alternative for open surgery. Polypropylene mid-urethral slings are comparable, if not better than laparoscopic Burch, though most data are short-term. The literature regarding other laparoscopic prolapse procedures, such as uterosacral ligament suspension, paravaginal defect repair, and rectocele repair is sparse.

SUMMARY: Short-term studies support the use of laparoscopy in urogynecology and reconstructive pelvic surgery. However, longer term studies are needed to confirm these findings.