What do systematic reviews say?

Sacral colpopexy: laparoscopic vs alternative approach

Sacral colpopexy: laparoscopic showed no clear difference in awareness of prolapse: Laparoscopic versus open compared with alternative approach (low certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 2.06 [0.4, 10.54]
  2 studies · 193 participants
  Low

Laparoscopic colposuspension vs open colposuspension

Laparoscopic colposuspension showed no clear difference in subjective cure within 18 months: laparoscopic colposuspension using… compared with open colposuspension (high certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 1.04 [0.99, 1.08]
  6 studies · 755 participants
  High

Laparoscopic colposuspension vs open colposuspension

It is very uncertain whether laparoscopic colposuspension changes subjective cure within 18 months: laparoscopic colposuspension using… compared with open colposuspension (very low certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 0.75 [0.61, 0.93]
  3 studies · 362 participants
  Very low

Laparoscopic colposuspension vs open colposuspension

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  no estimate extracted
  5 studies · 742 participants
  GRADE not reported

Laparoscopic colposuspension vs open colposuspension

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  GRADE not reported

Laparoscopic colposuspension vs open colposuspension

Laparoscopic colposuspension may leads to lower adverse effects: perioperative complications (number of events) compared with open colposuspension (low certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 0.67 [0.47, 0.94]
  11 studies · 1369 participants
  Low

Laparoscopic colposuspension vs open colposuspension

Laparoscopic colposuspension showed no clear difference in adverse effects: bladder perforations compared with open colposuspension (moderate certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 1.72 [0.9, 3.29]
  10 studies · 1311 participants
  Moderate

Laparoscopic colposuspension vs open colposuspension

Laparoscopic colposuspension showed no clear difference in adverse effects: de novo detrusor overactivity (urodynamic diagnosis) compared with open colposuspension (moderate certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 1.29 [0.72, 2.3]
  5 studies · 472 participants
  Moderate

Laparoscopic colposuspension vs open colposuspension

Laparoscopic colposuspension showed no clear difference in adverse effects: voiding dysfunction compared with open colposuspension (moderate certainty).

• Laparoscopic colposuspension for urinary incontinence in women 2019 · Cochrane Headline outcomes only
  RR 0.81 [0.5, 1.31]
  5 studies · 507 participants
  Moderate