The multifactorial pathophysiology of pelvic floor disorder accounts for the coexistence of several pelvic floor disorders in many women. Up to 54% of women with pelvic organ prolapse (POP) report concurrent stress urinary incontinence (SUI). While POP is a risk factor for coexistent SUI, apical and anterior prolapse can also conceal SUI symptoms that are unmasked by POP repair, resulting in de novo SUI postoperatively. It is important for pelvic reconstructive surgeons to consider the relationship between POP and urinary incontinence in presurgical planning and to discuss with patients the risks and advantages of concurrent versus staged anti-incontinence procedures.
Clinical obstetrics and gynecology. 2021 Apr 14 [Epub ahead of print]
Jennifer W H Wong, Olga Ramm
Department of Obstetrics & Gynecology, Division of Urogynecology-Female Pelvic Medicine & Reconstructive Surgery, Kaiser Permanente East Bay, Oakland, California.