Management of Patients with Concurrent Pelvic Organ Prolapse and Lower Urinary Tract Symptoms—Impact on Lower Urinary Tract Symptoms Following Prolapse Repair

Abstract

Women with pelvic organ prolapse often report accompanying lower urinary tract problems. Current evidence suggests that women with prolapse and stress incontinence benefit from combined anti-incontinence and prolapse surgery. However, combined anti-incontinence and prolapse surgery for women who are continent preoperatively is of questionable benefit. For women with occult stress incontinence, available evidence supports reserving anti-incontinence surgery for women who develop bothersome stress incontinence after initial prolapse surgery. A proportion of women with preoperative overactive bladder symptoms report improvement in symptoms following prolapse surgery. Intraoperative cystoscopy plays an important role in identifying lower urinary tract injuries during prolapse surgery. Lower urinary tract complications following prolapse surgery require appropriate management.