Staged strategy may avoid midurethral sling

Small US study suggests prolapse repair alone may halt stress urinary incontinence
Reuters Health
toilet paper

Nearly a third of women with pelvic organ prolapse and stress urinary incontinence may find resolution of their incontinence after their prolapse repair, a retrospective study suggests.

The findings suggest a staged approach to surgery, delaying a midurethral sling procedure until shown to be necessary.

US researchers evaluated the proportion of women who had subjective resolution of stress urinary incontinence after minimally invasive sacrocolpopexy or uterosacral ligament suspension without a concomitant incontinence procedure.

Among 93 women, mean age 59.5, with a median follow-up time of eight  months, stress urinary incontinence symptoms resolved in 28 (30%), with 26 resolving within the first year after surgery.