INTRODUCTION AND HYPOTHESIS: We compared outcomes after midurethral sling (MUS) with and without concomitant repair for prolapse. METHODS: Women who underwent MUS with or without concomitant repair for prolapse completed a follow-up survey. Outcomes were assessed with validated questionnaires and medical record review. Kaplan-Meier, Cox proportional hazards regression, and logistic regression models were used for analysis. RESULTS: Of 317 women, 281 (89%) responded to the survey. During a median follow-up of 2.7 years, survival free of "any" incontinence (Incontinence Severity Index score, >0) was similar in both groups (adjusted hazard ratio, 1.07; P = 0.77). Women with concomitant repair for advanced prolapse tended to be more bothered by frequent urination (adjusted odds ratio, 1.78; P = 0.08) and more likely to require urethrolysis (odds ratio, 6.11; P = 0.04) than those without concomitant pelvic floor repair. CONCLUSIONS: Prolapse repairs concomitant with MUS did not affect incontinence recurrence. However, repairs may cause increased lower urinary tract symptoms.
INTRODUCTION AND HYPOTHESIS: We compared outcomes after midurethral sling (MUS) with and without concomitant repair for prolapse. METHODS:Women who underwent MUS with or without concomitant repair for prolapse completed a follow-up survey. Outcomes were assessed with validated questionnaires and medical record review. Kaplan-Meier, Cox proportional hazards regression, and logistic regression models were used for analysis. RESULTS: Of 317 women, 281 (89%) responded to the survey. During a median follow-up of 2.7 years, survival free of "any" incontinence (Incontinence Severity Index score, >0) was similar in both groups (adjusted hazard ratio, 1.07; P = 0.77). Women with concomitant repair for advanced prolapse tended to be more bothered by frequent urination (adjusted odds ratio, 1.78; P = 0.08) and more likely to require urethrolysis (odds ratio, 6.11; P = 0.04) than those without concomitant pelvic floor repair. CONCLUSIONS: Prolapse repairs concomitant with MUS did not affect incontinence recurrence. However, repairs may cause increased lower urinary tract symptoms.
Authors: Holly E Richter; Ingrid Nygaard; Kathryn L Burgio; Victoria L Handa; Mary Pat Fitzgerald; Patricia Wren; Halina Zyczynski; Paul Fine; Morton B Brown; Anne M Weber Journal: J Urol Date: 2007-07-16 Impact factor: 7.450
Authors: Amie Kawasaki; Autumn L Edenfield; Anthony G Visco; Jennifer M Wu; Daniel Westreich; Nazema Y Siddiqui Journal: Int Urogynecol J Date: 2012-08-22 Impact factor: 2.894