title: A retrospective review of tension-free vaginal tape/transobturator tape procedures done concomitantly with prolapse repair.
abstract: OBJECTIVE
  Midurethral slings have become the standard of care for women with stress urinary incontinence; prolapse repair is often also required. The primary objective of our study was to compare voiding dysfunction rates and the need for reoperation between patients having midurethral sling procedures alone versus those having midurethral sling procedures with concomitant prolapse repair.
  
  
  METHODS
  We performed a retrospective chart review over a two-year period in a tertiary urogynaecology clinic. Of 108 charts, 93 had complete data for analysis.
  
  
  RESULTS
  Patients having concomitant prolapse repair had a longer operating time, a longer hospital stay, and a longer time to resume normal voiding in the immediate postoperative period.
  
  
  CONCLUSIONS
  Although tension-free vaginal tape or transobturator tape procedures with concomitant prolapse repair have a higher incidence of voiding dysfunction in the immediate postoperative period, we found that this did not persist to the six-week follow-up visit. There appeared to be no greater risk of lasting voiding dysfunction or need for reoperation after concomitant procedures.
authors: Department of Obstetrics and Gynecology, Royal Alexandra Hospital, University of Alberta, Edmonton AB.
authors: Marlies M
authors: MM
authors: Houwing
authors: Department of Obstetrics and Gynecology, Royal Alexandra Hospital, University of Alberta, Edmonton AB.
authors: Jane A
authors: JA
authors: Schulz
authors: Department of Obstetrics and Gynecology, Royal Alexandra Hospital, University of Alberta, Edmonton AB.
authors: Cathy G
authors: CG
authors: Flood
authors: Department of Obstetrics and Gynecology, Royal Alexandra Hospital, University of Alberta, Edmonton AB.
authors: Sandra
authors: S
authors: Baydock
authors: Department of Obstetrics and Gynecology, Royal Alexandra Hospital, University of Alberta, Edmonton AB; Department of Pediatrics, University of Alberta, Edmonton AB; Women and Children's Health Research Institute, Edmonton AB.
authors: Rhonda J
authors: RJ
authors: Rosychuk
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011184:Postoperative Period; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014554:Urination
keywords: midurethral sling; prolapse repair; voiding dysfunction