Should an anti-incontinence procedure be routinely performed at the time of pelvic organ prolapse repair? An evidence-based review.
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.
Atiemo
Humphrey O
HO
Department of Urology, University of Michigan, 3875 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5330, USA. hatiemo@umich.edu
D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000145:classification / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D053825:Suburethral Slings; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000517:prevention & control* / Q000601:surgery*; D014563:Urodynamics