Does concurrent pelvic organ prolapse surgery affect outcomes of mid-urethral Sling? A tertiary care experience
Document Type
Article
Department
Obstetrics and Gynaecology
Abstract
Objective: To compare the efficacy of mid-urethral sling surgery with and without concurrent pelvic organ prolapse surgery.
Methods: The retrospective chart review was conducted in May 2022 at the Aga Khan University Hospital, Karachi, and comprised data of female patients who underwent mid-urethral sling surgery either through tension-free vaginal tape or trans obturator tape for stress urinary incontinence between January 2010 and December 2020 and had a complete 12-month follow-up data available. Two groups were formed: Group A had mid-urethral sling surgery cases, while Group B, had cases with concurrent mid-urethral sling and pelvic organ prolapse surgery. Documented parameters, including preoperative data, postoperative complications and satisfaction levels using urogenital distress inventory-6 and incontinence impact questionnaire-7 tools, were compared between the groups. Negative cough stress test was defined as objective cure. Data was analysed using SPSS 19.
Results: Of the 345 females, 122(35.4%) were in Group A, with 68(55.7%) aged < 50 years. There were 223(64.6%) females in Group B, with 127(57%) aged >50 years(p>0.05). Parity >3 and menopause were significantly higher in Group B (p< 0.05), but a positive preoperative cough stress test was high in Group A (p=0.001). At 12-month followup, objective and subjective cure rates were not significantly different between the groups (p>0.05). However, at 6 months, urogenital distress inventory-6 scores were significant between the groups (p< 0.05). Body mass index was associated with objective failure at 6months. Mid-urethral sling type and the presence of concurrent prolapse surgery had no significant effect (p>0.05).
Conclusions: Undergoing simultaneous prolapse surgery and mid-urethral sling surgery had similar risks and success rates as undergoing mid-urethral sling surgery alone.
Publication (Name of Journal)
Journal of the Pakistan Medical Association
DOI
https://doi.org/10.47391/JPMA.11394
Recommended Citation
Khan, A.,
Malik, S.,
Kashif, U.,
Chughtai, N.
(2025). Does concurrent pelvic organ prolapse surgery affect outcomes of mid-urethral Sling? A tertiary care experience. Journal of the Pakistan Medical Association, 75(8), 1188-1193.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_obstet_gynaecol/310