International Urogynecology Journal

, Volume 30, Issue 4, pp 577–580 | Cite as

Should we combine vaginal prolapse surgery with continence surgery?

  • J. Marinus van der PloegEmail author
  • Jan-Paul W. R. Roovers
Clinical Opinion


The risk of postoperative stress urinary incontinence (SUI) can be reduced by combining prolapse repair with continence surgery. However, more women face a serious adverse event (SAE) after vaginal prolapse surgery combined with a midurethral sling (MUS). It is difficult to predict a woman’s individual postoperative SUI and SAE risk; therefore, weighing the benefits and risks of combination surgery is complex. We offer a concept that might help in considering combination surgery. According to this concept, women whose risk of needing subsequent surgery for postoperative SUI is on average 9% are likely to benefit from combination surgery.


Current opinion Pelvic organ prolapse Stress urinary incontinence Midurethral sling Combination surgery 


Compliance with ethical standards

Conflicts of interest

J. Marinus van der Ploeg: the author reports no conflict of interest.

Jan-Paul W.R. Roovers: medical consultant for American Medical Systems (AMS).


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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  • J. Marinus van der Ploeg
    • 1
    Email author
  • Jan-Paul W. R. Roovers
    • 2
  1. 1.Department of Obstetrics and GynecologyMartini HospitalGroningenThe Netherlands
  2. 2.Department of Obstetrics and Gynecology, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands

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