ONE-STAGE AND TWO-STAGE SURGICAL TREATMENT OF THE PELVIC ORGAN PROLAPSE COMBINED WITH STRESS URINARY INCONTINENCE

Abstract

Aim. To compare the efficiency of one-stage and two-stage vaginoplasty and suburethral sling placement in patients with pelvic organ prolapse combined with stress urinary incontinence. Materials and Methods. We recruited 242 women with second-degree pelvic organ prolapse requiring surgical treatment. Of these, 63 patients having stress urinary incontinence according to the cough test were randomized to undergo either one-stage (n = 31) or two-stage (n = 32) vaginoplasty and suburethral sling placement (3 months after the vaginoplasty). The primary outcome was the frequency of complaints on stress urinary incontinence after 4 months of follow-up. Secondary outcomes included prevalence of postoperative complications, cough test results, score of Incontinence Impact Questionnaire, Short Form (IIQ-7), and degree of prolapse (Pelvic Organ Prolapse Quantifications System). Results. Both surgical approaches did not differ in prevalence of early postoperative complications and long-term treatment outcomes. Conclusions. One-stage and two-stage vaginoplasty and suburethral sling placement have equal efficiency in treating the patients with pelvic organ prolapse combined with stress urinary incontinence.