The incidence of uterovaginal prolapse after pubovaginal sling
Conclusion: In neurologically intact women with a well-suspended uterus preoperatively, postoperative uterovaginal prolapse is not a significant complication after pubovaginal sling. Results: Pelvic examinations were performed on 24 of 28 patients. Uterine prolapse was identified in one patient with spinal dysraphism, which was a contributing cause. No patient developed recurrent stress urinary incontinence. Methods: The charts of 28 patients (mean age, 54 years) with intact uteri who underwent pubovaginal sling were reviewed. Preoperative evaluation included a history, pelvic exam, and videourodynamics. Six patients had a concomitant cystocele repair. The average period of follow-up evaluation was 30 months. Postoperative serial pelvic examinations and telephone interviews were obtained, and all patients with symptoms of pelvic relaxation or urinary incontinence were reexamined. Objective: To determine the incidence of postoperative uterovaginal prolapse after pubovaginal sling. © 2000 Lippincott Williams & Wilkins, Inc.
