Poster Session 3: Incontinence and overactive bladder| Volume 8, ISSUE 8, P619, September 2009

S35 Optimal primary minimally invasive treatment for patients with stress urinary incontinence and symptomatic pelvic organ prolapse

      Introduction and Objectives

      Comparison of the procedures in patients with concomitant stress urinary incontinence (SUI) and pelvic organ prolapse (POP) was performed. Tension free vaginal tape(TVT) or transobturatory tape (TOT) with coporrhaphy were compared with the fixed mesh (Prolift™) applied with the tension free suburethral sling.

      Material and Methods

      Total of 76 females with both SUI and POP were evaluated. TVT or TOT with colporrhaphy were performed in 39 patients and Prolift with the midurethral sling in 37 patiens. Anatomy, symptoms and quality of life (QOL) were evaluated before, one, three and six months as well as one year after the surgery


      Continence was achieved in both groups equally. The better anatomic outcome regarding correction of POP was in the Prolift group (Figure) but with the higher rate of additional procedures and complications. QOL was better in patients with grade III-IV POP corrected with Prolift (p = 0.05) and equal in both groups with grade I-II POP during the follow-up. Impairment of sexual life was present in both groups before the surgery. After the surgery, there is no improvement in sexual life regardless of correction both anatomy and incontinence.
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      TVT or TOT performed with colporrhaphy looks as a better primary choice for grade II POP and SUI. Results for grade III-IV POP and SUI are better with the Prolift™ with the sling.