Volume 47, Issue 2, Pages (February 2005)

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Volume 47, Issue 2, Pages 230-236 (February 2005) Laparoscopic Sacral Colpopexy Approach for Genito-Urinary Prolapse: Experience with 363 Cases Francois Rozet, Eric Mandron, Carlos Arroyo, Henry Andrews, Xavier Cathelineau, Annick Mombet, Nathalie Cathala, Guy Vallancien European Urology Volume 47, Issue 2, Pages 230-236 (February 2005) DOI: 10.1016/j.eururo.2004.08.014 Copyright © 2004 Elsevier B.V. Terms and Conditions

Fig. 1 Trocar placement: the 10mm umbilical port is for the laparoscope, the other 10mm trocar on the right is used to introduce the mesh and needles, and finally the 5mm trocars on the left are for the surgeon. European Urology 2005 47, 230-236DOI: (10.1016/j.eururo.2004.08.014) Copyright © 2004 Elsevier B.V. Terms and Conditions

Fig. 2 This drawing shows the patient position with respect the surgeon and assistant, as well as the operating room distribution. European Urology 2005 47, 230-236DOI: (10.1016/j.eururo.2004.08.014) Copyright © 2004 Elsevier B.V. Terms and Conditions

Fig. 3 100% polyester single side covered silicone mesh (Polyatex A4 100 × 150mm, Cousin Biotech) placement, the anterior mesh is sutured on the anterior vaginal wall and passed towards the sacral promontory and the posterior mesh is fixed with a double suture on the elevator ani muscle, both prosthesis are finally sutured on the sacral promontory. The last step of the surgery involves the peritonization of both meshes by simple closure of the previously opened peritoneum. European Urology 2005 47, 230-236DOI: (10.1016/j.eururo.2004.08.014) Copyright © 2004 Elsevier B.V. Terms and Conditions

Fig. 4 Shape of the anterior and posterior 100% polyester single side covered silicone mesh (Polyatex A4 100 × 150mm, Cousin Biotech). European Urology 2005 47, 230-236DOI: (10.1016/j.eururo.2004.08.014) Copyright © 2004 Elsevier B.V. Terms and Conditions