Dr. Cornella recalls the surgical procedure he recommends for women who have both urinary incontinence and vaginal prolapse.
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Urinary Incontinence and Vaginal Prolapse Combination Surgery Many patients may have a combination of both vaginal vault prolapse and urinary incontinence. It’s important to consider both of those entities when you are addressing the patient with incontinence and offering management solutions. We assess the patient in terms of bladder emptying as some prolapse may result in urinary retention. We look for occult urinary incontinence because in some patients the prolapse may actually hide urinary leakage. Then following surgery when the tissues are put into proper position, the patient begins to lose urine, not that it was created at surgery but rather that it was unmasked. Those patients benefit from having a combined procedure addressing both the prolapse and the urinary incontinence at the time of surgery.