01-09-2010
Should an Anti-incontinence Procedure Be Routinely Performed at the Time of Pelvic Organ Prolapse Repair? An Evidence-based Review
Published in: Current Urology Reports | Issue 5/2010
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The concept of prophylactic anti-incontinence surgery for women undergoing prolapse repair has been a popular and controversial debate in recent years. This article provides an evidence-based review of the current literature to determine the proper evaluation of the patient with prolapse, the predictive quality of preoperative urodynamics, and the selection of the appropriate anti-incontinence procedure. Based on this review, the midurethral sling predominates as the procedure of choice; however, there is poor evidence to suggest that routine usage of a prophylactic sling is warranted in treatment of the patient with pelvic organ prolapse.