{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:45:14Z","timestamp":1780411514110,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T00:00:00Z","timestamp":1523318400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare surgical complications for patients having minimally invasive sacrocolpopexy (MISCP) with concomitant incontinence procedure, to those having MISCP alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing MISCP with and without a concomitant incontinence procedure between 2006 and 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program database using Current Procedural Terminology codes. The main outcome of interest was a composite of surgical site infection, bleeding requiring blood transfusion, return to the operating room within 30 days, and surgical stay &gt;48\u2009h. Log\u2010binomial regression was used to identify independent risk factors for the outcome and to generate adjusted effect measures for variables of interest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven thousand ninety\u2010seven women met the inclusion criteria, of which 2433 (34%) underwent a concomitant incontinence procedure. Patients having incontinence procedures were slightly older (59\u2009\u00b1\u200911 vs 58\u2009\u00b1\u200912, <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.0001) and had longer total operating time (225 IQR 170\u2010267 vs 184 IQR 120\u2010232\u2009min, <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.0001). Pre\u2010operative steroid use, wound class III\/IV (vs I\/II), and longer operative time were independent predictors of the composite outcome. After adjusting for baseline patient characteristics and co\u2010morbidities, no association was observed between concomitant incontinence procedure and the composite outcome (adjusted RR 0.87, 95%CI 0.65\u20101.18) but there was an increased likelihood of urinary tract infection (adjusted RR 2.47 95%CI 1.89\u20103.27).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite being associated with a longer operative time, performing an incontinence procedure at the time of MSCIP was not associated with an increased risk of clinically important surgical complications other than urinary tract infection.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23574","type":"journal-article","created":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T23:44:02Z","timestamp":1523403842000},"page":"2234-2241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Complications after minimally invasive sacrocolpopexy with and without concomitant incontinence surgery: A National Surgical Quality Improvement Program (NSQIP) database study"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0892-004X","authenticated-orcid":false,"given":"Aisling A.","family":"Clancy","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Urogynecology The Ottawa Hospital Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjeeta","family":"Mallick","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital Research Institute The Ottawa Hospital Ottawa Ontario Canada"},{"name":"Department of School of Epidemiology and Public Health Faculty of Medicine University of Ottawa Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2344-9022","authenticated-orcid":false,"given":"Rodney 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