Skip to main content
Top
Published in: Current Urology Reports 5/2010

01-09-2010

Should an Anti-incontinence Procedure Be Routinely Performed at the Time of Pelvic Organ Prolapse Repair? An Evidence-based Review

Author: Humphrey O. Atiemo

Published in: Current Urology Reports | Issue 5/2010

Login to get access

Abstract

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.
Literature
1.
go back to reference Karram MM: Surgical treatment of vaginal vault prolapse and enterocele urogynecology and reconstructive pelvic surgery. In Urogynecology and Reconstructive Surgery, edn 3. Edited by Walters MW, Karram MM. Philadelphia: Elsevier Mosby; 2007:262–285. Karram MM: Surgical treatment of vaginal vault prolapse and enterocele urogynecology and reconstructive pelvic surgery. In Urogynecology and Reconstructive Surgery, edn 3. Edited by Walters MW, Karram MM. Philadelphia: Elsevier Mosby; 2007:262–285.
2.
go back to reference Brubaker L, Cundiff GW, Fine P, Nygaard I, et al.: Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 2006, 354:1557–1566.CrossRefPubMed Brubaker L, Cundiff GW, Fine P, Nygaard I, et al.: Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 2006, 354:1557–1566.CrossRefPubMed
3.
go back to reference Nygaard I: Obstetrics and Pelvic Floor Disorders. In Urogynecology and Reconstructive Surgery, edn 3. Edited by Walters MW, Karram MM. Philadelphia: Elsevier Mosby; 2007:165–170. Nygaard I: Obstetrics and Pelvic Floor Disorders. In Urogynecology and Reconstructive Surgery, edn 3. Edited by Walters MW, Karram MM. Philadelphia: Elsevier Mosby; 2007:165–170.
4.
go back to reference Baden WF, Walker TA: Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol 1972, 15:1048–1054.CrossRefPubMed Baden WF, Walker TA: Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol 1972, 15:1048–1054.CrossRefPubMed
5.
go back to reference Bump RC, Mattiasson A, Bø K, et al.: The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996, 175:10–17.CrossRefPubMed Bump RC, Mattiasson A, Bø K, et al.: The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996, 175:10–17.CrossRefPubMed
7.
go back to reference Borstad E, Rud T: The risk of developing urinary stress-incontinence after vaginal repair in continent women Acta Obstet Gynecol Scand 1989, 68:545–549.CrossRefPubMed Borstad E, Rud T: The risk of developing urinary stress-incontinence after vaginal repair in continent women Acta Obstet Gynecol Scand 1989, 68:545–549.CrossRefPubMed
8.
go back to reference Chaikin DC, Groutz A, Blaivas JG: Predicting the need for anti-incontinence surgery in continent women undergoing repair of severe urogenital prolapse. J Urol 2000, 163:531–534.CrossRefPubMed Chaikin DC, Groutz A, Blaivas JG: Predicting the need for anti-incontinence surgery in continent women undergoing repair of severe urogenital prolapse. J Urol 2000, 163:531–534.CrossRefPubMed
9.
go back to reference Lemack GE, Krauss S, Litman H, et al.: Normal preoperative urodynamic testing does not predict voiding dysfunction after Burch colposuspension versus pubovaginal sling. J Urol 2008, 180:2076–2080.CrossRefPubMed Lemack GE, Krauss S, Litman H, et al.: Normal preoperative urodynamic testing does not predict voiding dysfunction after Burch colposuspension versus pubovaginal sling. J Urol 2008, 180:2076–2080.CrossRefPubMed
10.
go back to reference Haessler AL, Lin LL, Hu MH, et al.: Reevaluating occult incontinence. Curr Opin Obstet Gynecol 2005, 17:535–540.CrossRefPubMed Haessler AL, Lin LL, Hu MH, et al.: Reevaluating occult incontinence. Curr Opin Obstet Gynecol 2005, 17:535–540.CrossRefPubMed
11.
go back to reference • Albo ME, Richter HE, Brubaker L, et al.: Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med 2007, 356:2143–2155. This article establishes the pubovaginal sling as superior to Burch colposuspension for treatment of stress urinary incontinence.CrossRefPubMed • Albo ME, Richter HE, Brubaker L, et al.: Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med 2007, 356:2143–2155. This article establishes the pubovaginal sling as superior to Burch colposuspension for treatment of stress urinary incontinence.CrossRefPubMed
12.
go back to reference Costantini E, Lazzeri M, Bini V, et al.: Burch colposuspension does not provide any additional benefit to pelvic organ prolapse repair in patients with urinary incontinence: a randomized surgical trial. J Urol 2008, 180:1007–1012.CrossRefPubMed Costantini E, Lazzeri M, Bini V, et al.: Burch colposuspension does not provide any additional benefit to pelvic organ prolapse repair in patients with urinary incontinence: a randomized surgical trial. J Urol 2008, 180:1007–1012.CrossRefPubMed
13.
go back to reference Costantini E, Zucchi A, Giannantoni A, et al.: Must colposuspension be associated with sacropexy to prevent postoperative urinary incontinence? Eur Urol 2007, 51:788–794.CrossRefPubMed Costantini E, Zucchi A, Giannantoni A, et al.: Must colposuspension be associated with sacropexy to prevent postoperative urinary incontinence? Eur Urol 2007, 51:788–794.CrossRefPubMed
14.
go back to reference Cosson M, Boukerrou M, Narducci F, et al.: Long-term results of the Burch procedure combined with abdominal sacrocolpopexy for treatment of vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2003, 14:104–107.CrossRefPubMed Cosson M, Boukerrou M, Narducci F, et al.: Long-term results of the Burch procedure combined with abdominal sacrocolpopexy for treatment of vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2003, 14:104–107.CrossRefPubMed
15.
go back to reference Aungst MJ, Mamienski TD, Albright TS, et al.: Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy: a surgery of current practice patterns. Int Urogynecol J Pelvic Floor Dysfunct 2009, 20:897–904.CrossRefPubMed Aungst MJ, Mamienski TD, Albright TS, et al.: Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy: a surgery of current practice patterns. Int Urogynecol J Pelvic Floor Dysfunct 2009, 20:897–904.CrossRefPubMed
16.
go back to reference Patel M, O’Sullivan D, Tulikangas PK: Is Burch or mid-urethal sling better with abdominal sacral colpopexy? Int Urogynecol J Pelvic Floor Dysfunct 2009, 20:787–790.CrossRefPubMed Patel M, O’Sullivan D, Tulikangas PK: Is Burch or mid-urethal sling better with abdominal sacral colpopexy? Int Urogynecol J Pelvic Floor Dysfunct 2009, 20:787–790.CrossRefPubMed
17.
go back to reference Trabuco EC, Klingele CJ, Weaver AL, et al.: Medium-term comparison of continence rates after rectus fascia or midurethral sling placement. Am J Obstet Gynecol 2009, 200:300.e1–e6.CrossRef Trabuco EC, Klingele CJ, Weaver AL, et al.: Medium-term comparison of continence rates after rectus fascia or midurethral sling placement. Am J Obstet Gynecol 2009, 200:300.e1–e6.CrossRef
18.
go back to reference • Ballert KN, Biggs GY, Isenalumhe A Jr, et al.: Managing the urethra at transvaginal pelvic organ prolapse repair: a urodynamic approach. J Urol 2009, 181:679–684. The midurethral sling seems to supplant the pubovaginal sling for treatment of stress incontinence due to decreased morbidity and reduction of recurrent stress incontinence. CrossRefPubMed • Ballert KN, Biggs GY, Isenalumhe A Jr, et al.: Managing the urethra at transvaginal pelvic organ prolapse repair: a urodynamic approach. J Urol 2009, 181:679–684. The midurethral sling seems to supplant the pubovaginal sling for treatment of stress incontinence due to decreased morbidity and reduction of recurrent stress incontinence. CrossRefPubMed
19.
go back to reference •• Wei J, Nygaard I, Richter H, et al.: Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial: design and methods. Clin Trials 2009, 6:162–171. The OPUS trial has been specifically designed to address the role of prophylactic sling surgery in patients undergoing pelvic organ prolapse repair. Preliminary results from this trial will be available in the fall of 2010. CrossRefPubMed •• Wei J, Nygaard I, Richter H, et al.: Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial: design and methods. Clin Trials 2009, 6:162–171. The OPUS trial has been specifically designed to address the role of prophylactic sling surgery in patients undergoing pelvic organ prolapse repair. Preliminary results from this trial will be available in the fall of 2010. CrossRefPubMed
Metadata
Title
Should an Anti-incontinence Procedure Be Routinely Performed at the Time of Pelvic Organ Prolapse Repair? An Evidence-based Review
Author
Humphrey O. Atiemo
Publication date
01-09-2010
Publisher
Current Science Inc.
Published in
Current Urology Reports / Issue 5/2010
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-010-0123-7

Other articles of this Issue 5/2010

Current Urology Reports 5/2010 Go to the issue