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World Journal of Urology

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01-09-2015 | Topic Paper

Stress incontinence surgery at the time of prolapse surgery: Mandatory or forbidden?

Authors: Ashley B. King, Howard B. Goldman

Published in: World Journal of Urology | Issue 9/2015

Abstract

Introduction

Concomitant anti-incontinence surgery at the time of prolapse repair has been a long-debated topic. Still today, there remains no clear answer to this question, although in recent years the literature has become more robust with the addition of more randomized controlled trials. The lifetime risk for women of undergoing surgical correction of pelvic organ prolapse is significant, and concomitant anti-incontinence surgery is an important question during surgical planning.

Materials and methods

This review delves further into the current literature to discuss a possible algorithm for managing the risk of stress incontinence after pelvic organ prolapse repair and examines the support in the literature for the following treatment methods: (1) anti-incontinence surgery for all women undergoing pelvic organ prolapse repair, (2) anti-incontinence surgery for no women undergoing pelvic organ prolapse repair, and (3) anti-incontinence surgery in select women undergoing pelvic organ prolapse repair.

Conclusions

While there are data both for and against each of these approaches, after a review of the literature, we recommend anti-incontinence surgery for select women undergoing pelvic organ prolapse repair, including women with a history of symptomatic and occult stress incontinence diagnosed preoperatively.

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Title: Stress incontinence surgery at the time of prolapse surgery: Mandatory or forbidden?
Authors: Ashley B. King
Howard B. Goldman
Publication date: 01-09-2015
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 9/2015
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-015-1591-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stress incontinence surgery at the time of prolapse surgery: Mandatory or forbidden?

Abstract

Introduction

Materials and methods

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Conclusions

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