Pelvic organ prolapse and urinary incontinence are two diseases highly prevalent in women, both being associated with a significant drop in women's quality of life and serious discomfort.

This video pretends to describe systematically the steps of laparoscopic sacrocolpopexy with Burch colposuspension at the same surgery in treatment of pelvic organ prolapse associated with the stress urinary incontinence.
A woman with 66 years old, G3P3, presented stress urinary incontinence, previously submitted to mid-urethral sling without success, and a sensation of vaginal mass. 
In objective examination, she had a POP stage III (Aa +1; Ba +2; C -3; gh + 3.5, pb +3; tvl + 9;  Ap – 2; Bp -2; D -5) and urinary leakage with Vasalva manoeuvres (ALLPP 65cmHO2). 
The procedure has begun with trocar placement:  the first 11 mm trocar at the inferior margin of the umbilicus after pneumoperitoneum is established; for the introduction of the second 11 trocar, an incision is made 2 cm medial to the left anterior superior iliac spine. For insertion of the 5-mm trocars, a cutaneous incision is made 2 cm medial to the right superior iliac spine and another incision at a point situated at the junction of the lateral 2/3 and medial 1/3 distance between the right anterior superior iliac spine trocar and the umbilicus trocar. 
The steps of the procedure are described throughout the video.

The surgery lasted 105 minutes and the blood loss was 90ml. There were no complications during or after the surgery in the postoperative. 
The patient was continent and without prolapse at 6 months postoperative and very satisfied with treatment.

This video shows that laparoscopic sacrocolpopexy associated at the same time with Burch colposuspension, proves to be a safe and effective surgery.