AI Article Synopsis
- The study aimed to analyze reoperation rates for sling procedures in patients undergoing laparoscopic sacral colpoperineopexy based on pre-surgery stress testing results.
- In the study, women were divided into two groups: those with positive stress tests who received a midurethral sling and those with negative tests who did not.
- Findings showed that 88% of patients did not require additional surgery, indicating that stress testing can effectively guide treatment decisions in pelvic organ prolapse cases.
Article Abstract
Introduction And Hypothesis: The aim of this study was to determine the reoperation rate for sling placement or revision in patients who had primary continence procedures based on prolapse reduction stress testing (RST) prior to laparoscopic sacral colpoperineopexy (LSCP).
Methods: This was a retrospective cohort study of women who had RST prior to LSCP for symptomatic pelvic organ prolapse. Patients with positive test (Pos RST) had a concomitant midurethral sling procedure and those with negative test (Neg RST) did not. Variables were compared with either Student's t test or Fisher's exact test.
Results: In Neg RST group (n = 70), the rate of surgery for de novo urodynamic stress incontinence was 18.6%. In Pos RST group (n = 82), the rate of sling revision for bladder outlet obstruction was 7.3%. Overall, 88% of patients did not require a second surgery.
Conclusions: The use of RST to recommend concomitant continence procedures during LSCP results in a single surgery for the majority of our patients.
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| http://dx.doi.org/10.1007/s00192-011-1648-0 | DOI Listing |
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