Incidence of concomitant surgery for pelvic organ prolapse in patients surgically treated for stress urinary incontinence.
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.
Hart
Stuart R
SR
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA. shart@gwinnett-gyn.com
Moore
Robert D
RD
Miklos
John R
JR
Mattox
Thomas F
TF
Kohli
Neeraj
N
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*