Incidence of concomitant procedures for pelvic organ prolapse and reconstruction in women who undergo surgery for stress urinary incontinence.
OBJECTIVE
To determine the incidence of concomitant procedures performed for pelvic organ prolapse or vaginal reconstruction at the time of surgery for stress urinary incontinence in contemporary practice.


METHODS
We recorded all concomitant procedures for pelvic organ prolapse or vaginal reconstruction in 264 women who underwent surgery for stress urinary incontinence at our institution from January 1995 to August 1997.


RESULTS
Of 264 women, 111 (42%) had at least one concomitant procedure performed for pelvic organ prolapse or vaginal reconstruction, including 87 cystocele repairs, 31 rectocele repairs, 8 sacrospinous fixations, 5 enterocele repairs, 5 abdominal sacrocolpopexies, 4 perineoplasties, 3 urethral diverticulectomies, and 1 vaginal hysterectomy. Furthermore, 9% of patients had two or more procedures.


CONCLUSIONS
We found that women who undergo surgery for stress urinary incontinence have a high incidence (42%) of associated pelvic organ prolapse requiring surgical repair. These additional repairs contribute to the overall success of surgery and should not be overlooked.
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Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Rackley
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Appell
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D003944:Diagnostic Techniques, Obstetrical and Gynecological; D005260:Female; D006547:Hernia / Q000453:epidemiology; D059685:Herniorrhaphy; D006801:Humans; D015994:Incidence; D010388:Pelvis / Q000601:surgery*; D011391:Prolapse; D019651:Plastic Surgery Procedures / Q000379:methods / Q000706:statistics & numerical data*; D001745:Urinary Bladder Diseases / Q000453:epidemiology / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D014621:Vagina / Q000601:surgery