title: [A retrospective analysis comparing colposuspension and retropubic mid-urethral sling as preventive anti-incontinence measures during laparoscopic sacrocolpopexy].
abstract: OBJECTIVE
  The aim of this paper was to compare two anti-incontinence procedures during laparoscopic sacrocolpopexy (LSC) to prevent postoperative stress urinary incontinence (SUI).
  
  
  METHODS
  Retrospective analysis of 90 continent hysterectomized patients with vaginal vault prolapse treated with LSC plus colposuspension (group A, N.=30), LSC plus retropubic mid-urethral sling (group B, N.=30), or LSC alone (group C, N.=30).
  
  
  RESULTS
  De novo SUI rate resulted significantly (P<0.05) lower in group B than C. No difference was detected regarding de novo urge urinary incontinence. Total reoperation rate resulted significantly (P<0.05) higher in group A than B and lower in group B than C.
  
  
  CONCLUSIONS
  When associated to LSC for preventing SUI, colposuspension and retropubic mid-urethral sling are effective and safe, even if mid-urethral sling seems to provide the best risk/benefit profile.
authors.affiliation: Cattedra di Ginecologia e Ostetricia, Università Magna Graecia di Catanzaro, Catanzaro, Italia. stefanopalomba@tin.it
authors.forename: S
authors.initials: S
authors.lastname: Palomba
authors.forename: R
authors.initials: R
authors.lastname: Oppedisano
authors.forename: C
authors.initials: C
authors.lastname: Materazzo
authors.forename: A
authors.initials: A
authors.lastname: Albano
authors.forename: M
authors.initials: M
authors.lastname: Condorelli
authors.forename: A
authors.initials: A
authors.lastname: Dicello
authors.forename: V
authors.initials: V
authors.lastname: Napolitano
authors.forename: F
authors.initials: F
authors.lastname: Zullo
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000517:prevention & control*