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.