title: Incidence of concomitant surgery for pelvic organ prolapse in patients surgically treated for stress urinary incontinence.
abstract: OBJECTIVE
  To examine the concomitant incidence of surgery for pelvic organ prolapse in patients undergoing a surgical procedure to correct stress urinary incontinence in both an academic and private urogynecology practices.
  
  
  METHODS
  A retrospective chart review was performed on all patients undergoing surgical correction of stress urinary incontinence over a 1-year period at 2 centers.
  
  
  RESULTS
  Among 150 surgical procedures for stress urinary incontinence in the academic practice, 116 (77%) patients underwent at least 1 additional procedure for a pelvic support defect, and 72 (48%) patients required 2 or more concomitant reconstructive pelvic procedures. In the private urogynecology practice, 182 surgical procedures for stress urinary incontinence were performed, 153 (84%) patients required at least 1 additional procedure for a pelvic support defect, and 86 (47%) patients required 2 or more concomitant reconstructive pelvic procedures.
  
  
  CONCLUSIONS
  Women who require surgical correction of stress urinary incontinence have a high incidence of concomitant pelvic support defects that require surgical repair. The incidence of concomitant surgery for pelvic organ prolapse between the 2 sites was not significantly different.
authors.affiliation: Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA. shart@gwinnett-gyn.com
authors.forename: Stuart R
authors.initials: SR
authors.lastname: Hart
authors.forename: Robert D
authors.initials: RD
authors.lastname: Moore
authors.forename: John R
authors.initials: JR
authors.lastname: Miklos
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Mattox
authors.forename: Neeraj
authors.initials: N
authors.lastname: Kohli
mesh_terms: D015331:Cohort Studies; D052858:Cystocele / Q000150:complications / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006785:Hospitals, University; D006801:Humans; D017773:Pelvic Floor / Q000601:surgery*; D011331:Private Practice; D020047:Rectocele / Q000150:complications / Q000601:surgery; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*