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01-02-2009 | Review

Is there any evidence to advocate SUI prevention in continent women undergoing prolapse repair? An overview

Author: B. Fatton

Published in: International Urogynecology Journal | Issue 2/2009

Abstract

Postoperative SUI prevention at the time of prolapse surgery is still a challenging issue. Recent findings suggested that a systematic prophylactic Burch colposuspension could be performed in continent women undergoing a sacral colpopexy. The aim of this paper is to collect relevant literature in order to suggest a management strategy. A thorough PubMed research of all papers in the English language was conducted. Evidence-based medicine was analyzed and current unanswered questions were discussed. Despite evident limitations, it appears to be some benefit from preoperative screening with a stress test during prolapse reduction. In continent patient with a positive stress test, adding a preventive procedure could be fully justified. In regard to contradictory published data, when negative stress test, patient counseling is important and the ratio of risk–benefit should be rigorously discussed. Further randomized controlled studies are needed to support either a prophylactic or a second-step strategy.

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Title: Is there any evidence to advocate SUI prevention in continent women undergoing prolapse repair? An overview
Author: B. Fatton
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0734-4

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Is there any evidence to advocate SUI prevention in continent women undergoing prolapse repair? An overview

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