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Should we combine vaginal prolapse surgery with continence surgery?

J Marinus van der Ploeg1, Jan-Paul W R Roovers2

  • 1Department of Obstetrics and Gynecology, Martini Hospital, PO Box 30.033, 9700 RM, Groningen, The Netherlands. ploegjm@mzh.nl.

International Urogynecology Journal
|November 9, 2018
PubMed

The risk of postoperative stress urinary incontinence (SUI) can be reduced by combining prolapse repair with continence surgery. However, more women face a serious adverse event (SAE) after vaginal prolapse surgery combined with a midurethral sling (MUS). It is difficult to predict a woman's individual postoperative SUI and SAE risk; therefore, weighing the benefits and risks of combination surgery is complex. We offer a concept that might help in considering combination surgery. According to this concept, women whose risk of needing subsequent surgery for postoperative SUI is on average 9% are likely to benefit from combination surgery.

Keywords:
Combination surgeryCurrent opinionMidurethral slingPelvic organ prolapseStress urinary incontinence

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