Erschienen in:
01.04.2019 | Clinical Opinion
Should we combine vaginal prolapse surgery with continence surgery?
verfasst von:
J. Marinus van der Ploeg, Jan-Paul W. R. Roovers
Erschienen in:
International Urogynecology Journal
|
Ausgabe 4/2019
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Abstract
The risk of postoperative stress urinary incontinence (SUI) can be reduced by combining prolapse repair with continence surgery. However, more women face a serious adverse event (SAE) after vaginal prolapse surgery combined with a midurethral sling (MUS). It is difficult to predict a woman’s individual postoperative SUI and SAE risk; therefore, weighing the benefits and risks of combination surgery is complex. We offer a concept that might help in considering combination surgery. According to this concept, women whose risk of needing subsequent surgery for postoperative SUI is on average 9% are likely to benefit from combination surgery.