Defining the successful outcome of intervention for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) has become an art form. The key questions are whether the anti-incontinence procedure should be done for all patients with significant (grade 3-4) POP; whether an anti-incontinence procedure should be done for a patient with occult SUI (unmasking of SUI on reduction of POP during the urodynamic evaluation or with a pessary); and whether anti-incontinence procedures should be limited to those with clinical SUI and POP. This report illustrates several points that are worth highlighting.
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