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Updated: Jul 23, 2026
Development of a Uterosacral Ligament Suspension Rat Model
Published on: August 17, 2022
Strategy of Delayed Midurethral Sling Surgery for Pelvic Organ Prolapse with Stress Urinary Incontinence after
Jie Yu1, Xinyue Wang2, Huajie Wu2
1Department of Obstetrics and Gynecology, Liupanshui People's Hospital, Guizhou Province, China. 13329681242@163.com.
Introduction And Hypothesis:
To explore whether concurrent midurethral sling surgery (MUS) is necessary for pelvic organ prolapse (POP) patients with simple anatomical stress urinary incontinence (SUI) undergoing laparoscopic lateral abdominal wall suspension (LLS).
Methods:
A multicenter prospective cohort study enrolled 200 eligible patients (stage Ⅱ + apical/anterior POP with SUI) from 2022-2024, divided into LLS + MUS (n = 100) and LLS alone (n = 100), with 40 healthy controls. Outcomes included urodynamic tests, ISI, POP-Q, MRI, and PGI-I at baseline, 3 months, and 1 year.
Results:
170 patients (85%) completed 1-year follow-up. LLS + MUS group had higher SUI cure rate (85.3% vs 50.9%, P < 0.05) but more complications (urinary tract infection:17.6% vs 5.9%; urinary retention:8.8% vs 0%; dyspareunia:35.3% vs 15.7%; mesh exposure:14.7% vs 2%, all P < 0.05). LLS alone group showed higher satisfaction (86.3% vs 67.6%, P < 0.05). POP anatomical reduction rates were similar between groups (P > 0.05).
Conclusions:
For apical/anterior POP with SUI, LLS alone is preferred, with delayed MUS if needed, reducing complications and improving satisfaction.
