title: Effect of concomitant single incision vaginal surgery on mid urethral sling success.
abstract: The aim of this study was to assess medium-term outcomes of the single anterior vaginal wall incision technique with concomitant mid-urethral sling (MUS) procedure.
  
  
  
  Patients suffering from stress urinary incontinence and who desired surgical correction for their incontinence were divided into two groups according to MUS surgery alone or MUS surgery with anterior vaginal wall surgery. Concomitant surgery was performed via single large anterior vaginal wall incision. Primary outcome was treatment success 12 months after surgery. Urodynamic and baseline factors that may be associated with surgery failure were analyzed.
  
  
  
  Single incision anterior colporrhaphy with MUS was performed in 180 patients, 62 patients underwent only MUS procedure. Success rate was 87.1% in sling surgery alone and 83.9% in single incision concomitant surgery group (P = 0.5). Detrusor overactivity (DO) was present on UDS in 23 of 37 women (62.2%) with MUS failure, 81 of 205 women (39.7%) with no stress test positivity with the cough stress test (P < 0.05). Total continence rate in patients who underwent vaginal hysterectomy was 60.6% (P < 0.001).
  
  
  
  Concurrent cystocele repair with MUS operations through a single anterior wall incision is a safe and effective method for SUI. This study demonstrated an increased risk of surgery failure for those who underwent a concurrent hysterectomy for pelvic organ prolapse. Neurourol. Urodynam. 35:995-999, 2016. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Department of Obstetric and Gynecology, Bezmialem Vakif University, İstanbul, Turkey. serdariks@yahoo.com.
authors.forename: Serdar
authors.initials: S
authors.lastname: Aydın
authors.affiliation: Department of Obstetric and Gynecology, Liv Hospital, İstanbul, Turkey.
authors.forename: Çağrı
authors.initials: Ç
authors.lastname: Arıoğlu Aydın
mesh_terms: D000328:Adult; D000368:Aged; D052858:Cystocele / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011788:Quality of Life; D053825:Suburethral Slings; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000601:surgery*; D014563:Urodynamics; D014621:Vagina / Q000601:surgery*
keywords: anterior colporrhaphy; detrusor overactivity; midurethral sling; transobturator tape (TOT); transvaginal tape (TVT); vaginal hysterectomy