{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:10:48Z","timestamp":1791353448175,"version":"4.3.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T00:00:00Z","timestamp":1510531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2018,2]]},"abstract":"\n Background<\/jats:title>\n \n To reduce the risk of postoperative stress urinary incontinence (\n POSUI<\/jats:styled-content>\n ) prolapse repair might be combined with incontinence surgery.\n <\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n Compare efficacy and safety of prolapse surgery with and without incontinence surgery.<\/jats:p>\n <\/jats:sec>\n \n Search strategy<\/jats:title>\n \n Including our earlier review a systematic search in PubMed,\n EMBASE<\/jats:styled-content>\n , the Cochrane Library and the Register of Current Controlled Trials was performed from 1995 to 2017.\n <\/jats:p>\n <\/jats:sec>\n \n Selection criteria<\/jats:title>\n \n Randomised trials comparing prolapse surgery with a midurethral sling (\n MUS<\/jats:styled-content>\n ) or Burch colposuspension.\n <\/jats:p>\n <\/jats:sec>\n \n Data collection and analysis<\/jats:title>\n \n Two reviewers selected eligible articles and extracted data. Stress urinary outcomes were pooled for preoperative\n SUI<\/jats:styled-content>\n . Urgency incontinence and adverse events were pooled for incontinence procedure.\n <\/jats:p>\n <\/jats:sec>\n \n Main results<\/jats:title>\n \n Ten trials were included. Women with preoperative\n SUI<\/jats:styled-content>\n symptoms or occult\n SUI<\/jats:styled-content>\n had a lower risk to undergo subsequent incontinence surgery for\n POSUI<\/jats:styled-content>\n after vaginal prolapse surgery with a\n MUS<\/jats:styled-content>\n than after prolapse surgery only: 0 versus 40% [relative risk (\n RR<\/jats:styled-content>\n ) 0.0; 95%\n CI<\/jats:styled-content>\n 0.0\u20130.2] and 1 versus 15% (\n RR<\/jats:styled-content>\n 0.1; 95%\n CI<\/jats:styled-content>\n 0.0\u20130.6), respectively. These differences were not significant in continent women not tested for occult\n SUI<\/jats:styled-content>\n or without occult\n SUI<\/jats:styled-content>\n . Serious adverse events were more frequent after vaginal prolapse repair with\n MUS<\/jats:styled-content>\n (14 versus 8%;\n RR<\/jats:styled-content>\n 1.7; 95%\n CI<\/jats:styled-content>\n 1.1\u20132.7), but not after sacrocolpopexy with Burch colposuspension. Combination surgery did not increase the risk of overactive bladder symptoms, urgency incontinence and surgery for voiding dysfunction.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Vaginal prolapse repair with\n MUS<\/jats:styled-content>\n reduced the risk of postoperative\n SUI<\/jats:styled-content>\n in women with preoperative\n SUI<\/jats:styled-content>\n symptoms or occult\n SUI<\/jats:styled-content>\n , but serious adverse events were more frequent.\n <\/jats:p>\n <\/jats:sec>\n \n Tweetable abstract<\/jats:title>\n Less stress incontinence after vaginal prolapse repair with sling, but more adverse events.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.14943","type":"journal-article","created":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T09:32:44Z","timestamp":1506072764000},"page":"289-297","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Prolapse surgery with or without incontinence procedure: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"125","author":[{"given":"JM","family":"van der Ploeg","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Martini Hospital Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"van der Steen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ziekenhuisgroep Twente Almelo the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Zwolsman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Academic Medical Centre University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CH","family":"van der Vaart","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Reproductive Medicine University Medical Centre Utrecht Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JPWR","family":"Roovers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Academic Medical Centre University of Amsterdam Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12509"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22327"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0498-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2924-1"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_6_7_1","first-page":"CD004014","article-title":"Surgical management of pelvic organ prolapse in women","volume":"4","author":"Maher C","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000094"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2685-x"},{"key":"e_1_2_6_10_1","unstructured":"HigginsJ GreenS Editors.Cochrane Handbook For Systematic Reviews Of Interventions. 5.1.0[updated March 2011] Ed. 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