{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T16:40:07Z","timestamp":1756744807628,"version":"3.44.0"},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Objective: To compare the efficacy of mid-urethral sling surgery with and without concurrent pelvic organ prolapse surgery.\nMethod: The retrospective chart review was conducted in May 2022 at the Aga Khan University Hospital, Karachi, and comprised data of female patients who underwent mid-urethral sling surgery either through tension-free vaginal tape or trans obturator tape for stress urinary incontinence between January 2010 and December 2020 and had a complete 12-month follow-up data available. Two groups were formed: Group Ahad mid-urethral sling surgery cases, while Group B, had cases who had concurrent mid-urethral sling and pelvic organ prolapse surgery. Documented parameters, including preoperative data, postoperative complications and satisfaction levels using urogenital distress inventory-6 and incontinence impact questionnaire-7 tools, were compared between the groups. Negative cough stress test was defined as objective cure. Data was analysed using SPSS 19.\nResults: Of the 345 females, 122(35.4%) were in Group A, with 68(55.7%) aged &lt;50 years. There were 223(64.6%) females in Group B, with 127(57%) aged &gt;50 years(p&gt;0.05). Parity &gt;3 and menopause were significantly higher in Group B (p&lt;0.05), but a positive preoperative cough stress test was high in Group A (p=0.001). At 12-month follow-up, objective and subjective cure rates were not significantly different between the groups (p&gt;0.05). However, at 6 months, urogenital distress inventory-6 scores were significant between the groups (p&lt;0.05). Body mass index was associated with objective failure at 6months. Mid-urethral sling type and the presence of concurrent prolapse surgery had no significant effect (p&gt;0.05).\nConclusion: Undergoing simultaneous prolapse surgery and mid-urethral sling surgery had similar risks and success rates as undergoing mid-urethral sling surgery alone.\nKey Words: Concurrent surgery, Pelvic organ prolapse, Mid-urethral sling, Treatment outcome, Survey and questionnaires.<\/jats:p>","DOI":"10.47391\/jpma.11394","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T16:08:00Z","timestamp":1756483680000},"page":"1188-1193","source":"Crossref","is-referenced-by-count":0,"title":["Does concurrent pelvic organ prolapse surgery affect outcomes of mid-urethral Sling? A tertiary care experience"],"prefix":"10.47391","volume":"75","author":[{"given":"Samia","family":"Aijaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urooj","family":"Kashif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Novera","family":"Chughtai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Summera","family":"Malik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26547","published-online":{"date-parts":[[2025,8,1]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/11394\/4247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/11394\/4247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T16:06:17Z","timestamp":1756742777000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/11394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,1]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,8,29]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.11394","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"type":"electronic","value":"0030-9982"},{"type":"print","value":"0030-9982"}],"subject":[],"published":{"date-parts":[[2025,8,1]]}}}