The Use of a Concomitant Tension-free Vaginal Mesh Technique and a Tension-free mldurethral sling in treating pelvic Organ Prolapse and Occult Stress Urinary Incontinence

摘要

It has been reported that, among women, the risk of undergoing surgery for the treatment of a pelvic organ prolapse (POP) is greater than 10% by the age of 80 [1]. This percentage is expected to increase as life expectancy continues to rise. Prevalence rates of POP vary considerable according to the definition and survey method used, as well as the population studied. Meanwhile, there would seem to be a large proportion of repetitive procedures for recurrence of POP (29.2%) and the time interval between the repetitive procedures decreases with each successive repair [1]. Occult stress urinary incontinence (SUI) is estimated to be 36-80% associated with advanced POP [2]. Therefore, it is distressing to encounter postoperative symptomatic SUI after surgical correction of severe POP.