Reutilization of the Prolift mark system for the simultaneous correction of prolapse and incontinence in patients with pelvic organ prolapse and stress urinary incontinence.

ABSTRACT

OBJECTIVE: The reutilization of the Prolift mark system with the simultaneous creation of a midurethral sling from the same set was described. STUDY DESIGN: The technique was applied in 23 patients with pelvic organ prolapse (POP) and clinically evident or occult stress urinary incontinence (SUI). RESULTS: Correction of POP was achieved in 21 out of 23 (91.3%) patients, and complete continence after the surgery in 20 out of 23 (86.9%). There was a significant improvement in voiding symptoms without deterioration of voiding function. Morbidity of the surgery was not different from that with Prolift mark alone. CONCLUSION: Modification of the method with creation of a suburethral sling from the same set is more economically viable without compromising either pelvic organ support or continence.