title: Outcomes of minimally invasive suburethral slings with and without concomitant pelvic organ prolapse surgery.
abstract: OBJECTIVE
  To assess subjective outcomes among patients who underwent minimally invasive suburethral sling (MIS) surgery for stress urinary incontinence with or without concurrent pelvic organ prolapse (POP) surgery.
  
  
  METHODS
  In a prospective study between 2002 and 2010, patients who underwent MIS surgery with or without concomitant POP surgery at Croydon University Hospital, UK, completed the ICIQ-FLUTS and ICIQ-LUTSqol questionnaires on lower urinary tract symptoms and quality of life before and 12 months after surgery.
  
  
  RESULTS
  Overall, 203 patients underwent MIS surgery alone and 91 underwent concomitant POP and MIS surgery. At 12 months, the response rate was 64.3%. Before surgery, there was no significant difference between the groups in any domain of ICIQ-FLUTS and ICIQ-LUTSqol, except for in the incontinence domain of ICIQ-FLUTS, for which scores were significantly worse in the MIS group (P=0.018). All domains of ICIQ-FLUTS and ICIQ-LUTSqol had improved after 1 year in both groups, except for the voiding domain of the ICIQ-FLUTS in the MIS group (P=0.054). After surgery, there was no difference between the groups in any domain (P>0.05). Complication rates were low in both groups.
  
  
  CONCLUSIONS
  MIS with concomitant POP surgery is as safe and effective as MIS surgery alone.
authors.affiliation: Department of Obstetrics and Gynecology, Croydon University Hospital, Croydon, UK.
authors.forename: Madhu
authors.initials: M
authors.lastname: Naidu
authors.affiliation: Department of Obstetrics and Gynecology, Croydon University Hospital, Croydon, UK.
authors.forename: Ranee
authors.initials: R
authors.lastname: Thakar
authors.affiliation: Department of Obstetrics and Gynecology, Croydon University Hospital, Croydon, UK. Electronic address: abdul.sultan@croydonhealth.nhs.uk.
authors.forename: Abdul H
authors.initials: AH
authors.lastname: Sultan
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery*
keywords: Concomitant prolapse surgery; Minimally invasive suburethral sling; Tension-free vaginal tapes; Urinary incontinence