Laparoscopic Hysterectomy with Anterior Four-Arm Mesh ImplantTechnique in the Surgical Treatment of a Woman with Pelvic OrganProlapse and Urinary Incontinence: A Case Report and Review of theLiterature

Abstract Purpose: A woman with Pelvic Organ Prolapse (POP) and Stres Urinary A°ncontinence (SUI) who was treated with a technique utilizing laparoscopic hysterectomy followed by the placement of a 4-arm polypropylene mesh. Methods: Patient who applied to the clinic due to recurrent postmenopausal bleeding, urinary incontinence and vaginal swelling was performed alternative laparoscopic hysterectomy due to such factors as previous recurrent pelvic surgery, lack of isolated uterine descensus, and difficulty of vaginal hysterectomy. In the same session, the patient was treated with anterior 4-arms POP mesh implant. Results: Post-operative 6 months follow ups, both functional and anatomical improvement were observed as the patient’s SUI became continence, and there was an improvement in POP. Conclusion: The combination of laparoscopic hysterectomy, POP 4-arm mesh implant and anti-incontinence surgery in the hysterectomy plan is functional and effective for bbenign reasons in patients with POP and SUI. Future studies are needed to evaluate the utility of this technique