title: Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy.
abstract: OBJECTIVE
  The aim of this study was to determine the reoperation rate for sling placement or revision in patients who had primary continence procedures based on prolapse reduction stress testing (RST) prior to laparoscopic sacral colpoperineopexy (LSCP).
  
  
  METHODS
  This was a retrospective cohort study of women who had RST prior to LSCP for symptomatic pelvic organ prolapse. Patients with positive test (Pos RST) had a concomitant midurethral sling procedure and those with negative test (Neg RST) did not. Variables were compared with either Student's t test or Fisher's exact test.
  
  
  RESULTS
  In Neg RST group (n = 70), the rate of surgery for de novo urodynamic stress incontinence was 18.6%. In Pos RST group (n = 82), the rate of sling revision for bladder outlet obstruction was 7.3%. Overall, 88% of patients did not require a second surgery.
  
  
  CONCLUSIONS
  The use of RST to recommend concomitant continence procedures during LSCP results in a single surgery for the majority of our patients.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indiana University Health Methodist Hospital, Indiana University School of Medicine, Indianapolis, IN, USA. jpark2003@post.harvard.edu
authors.forename: Jean
authors.initials: J
authors.lastname: Park
authors.forename: Colleen D
authors.initials: CD
authors.lastname: McDermott
authors.forename: Colin L
authors.initials: CL
authors.lastname: Terry
authors.forename: Richard C
authors.initials: RC
authors.lastname: Bump
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Woodman
authors.forename: Douglass S
authors.initials: DS
authors.lastname: Hale
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000601:surgery*; D057234:Preoperative Period; D012086:Reoperation; D012189:Retrospective Studies; D012306:Risk; D012447:Sacrum / Q000601:surgery; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*; D014563:Urodynamics