Innovatieve behandelingen voor bekkenbodemdysfunctie

Herein, we aimed to explore the potential benefit of three novel therapies for prolapse and/or urinary incontinence. Both conditions are common in women, negatively affect their quality of life, and the current treatment options to which the novel treatments would be an alternative, have their shortcomings. In summary, we demonstrated that though vaginal laser application improves prolapse and stress urinary incontinence symptoms as much as pelvic floor exercises do and without adverse events, their treatment effect was short lasting. In terms of surgical treatment of urinary incontinence in the presence of prolapse, we did not implement cervicosacropexy or vaginosacropexy, because of the lack of robust evidence. We reviewed our outcomes of sacrocolpopexy following the introduction of lightweight mesh, demonstrating a reduction in number of graft related complications without compromising subjective and objective outcomes. We also demonstrated the safety and efficacy of redo sacrocolpopexy. We further demonstrated that operation times of sacrocolpopexy could be reduced by using synthetic glue without increasing hospital costs. Finally, the development of a validated automatized workflow analysis of this intervention will further help us to investigate and optimize surgical skills and assess the impact of procedural changes.