Midurethral Sling with Concomitant Sacrocolpopexy: Does the Sequence Matter? A Retrospective Cohort Study

Sanjana Kulkarni; Colton Mabis; Muhammad Faisal Aslam; Tamara Siblini; Karen Hagglund

doi:10.1016/j.jogc.2024.102461

Midurethral Sling with Concomitant Sacrocolpopexy: Does the Sequence Matter? A Retrospective Cohort Study

J Obstet Gynaecol Can. 2024 Apr 16:102461. doi: 10.1016/j.jogc.2024.102461. Online ahead of print.

Authors

Sanjana Kulkarni¹, Colton Mabis², Muhammad Faisal Aslam², Tamara Siblini², Karen Hagglund²

Affiliations

¹ Ascension St. John Hospital Detroit. Electronic address: sanjana.kulkarni@ascension.org.
² Ascension St. John Hospital Detroit.

PMID: 38636804
DOI: 10.1016/j.jogc.2024.102461

Abstract

The objective is to determine if the timing of midurethral sling (MUS) placement has an impact on the recurrence rate of stress urinary incontinence (SUI). We conducted a retrospective cohort study of patients that underwent robot sacrocolpopexy (RSC) with MUS placement at a large community hospital. Our data demonstrated that there was no significant difference in SUI recurrence when the MUS was placed before or after the RSC (15% vs. 11%, P = 0.41, respectively). We concluded that physician preference may dictate surgical approach to sequence of retropubic MUS placement at the time of RSC.

Keywords: Midurethral Sling; Prolapse; Sacrocolpopexy; Urinary Incontinence.