Stress urinary incontinence six months post laparoscopic sacrocolpopexy

Abstract

Objective: To determine the incidence of postoperative stress urinary incontinence (SUI) after laparoscopic sacrocolpopexy (LSCP) in women without preoperative symptoms or signs of SUI.

Methods: We conducted a retrospective chart review of all cases of LSCP over a five-year period in a major tertiary centre to identify cases of SUI at the six-month follow-up visit. Patients did not have demonstrable preoperative SUI with prolapse reduction techniques, and they did not have prior or concomitant SUI surgery.

Results: Of 31 women, only two had SUI at six months after LSCP, with one requiring surgery.

Conclusion: We do not recommend concomitant prophylactic surgery for SUI at the time of LSCP in women who do not have objectively demonstrable SUI before surgery.