Concomitant Incontinence Surgery at the Time of Prolapse Repair

Abstract

Pelvic organ prolapse and stress urinary incontinence are two very common pelvic floor complaints in women. Many women choose definitive surgical treatment for bothersome prolapse; the number of women choosing this treatment option is projected to increase significantly by 2050. The literature is mixed in regards to management of occult stress urinary incontinence in patients undergoing prolapse repair. Various approaches to evaluation of occult stress urinary incontinence with prolapse reduction will be reviewed such as the universal, selective, and staged approaches. Informed consent that includes a thorough discussion of the options, risks, and benefits is paramount and allows the patient autonomy to choose the approach that is best for them individually.