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

Objective: The reutilization of the Prolift (TM) 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 (TM) 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. (C) 2008 Elsevier Ireland Ltd. All rights reserved.