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The challenge of pelvic organ prolapse (POP) is to develop durable surgeries, including sacrocolpopexy. One must consider concomitant anti-incontinence procedures. This study by Nygaard and colleagues addresses the durability of sacrocolopexy, and also provides valuable data on the long-term efficacy of concurrent anti-incontinence surgery.
The extended colpopexy and urinary reduction efforts (eCARE) trial provides follow-up of the CARE trial.1 Women with advanced POP without baseline incontinence were randomised to receive abdominal sacrocolpopexy with or without urethropexy. The majority (215/231) were enrolled and 121 women (56%) completed a 7-year assessment. The outcomes included anatomic and symptomatic …
Competing interests EJG received honoraria from Intuitive Surgical, Inc for postgraduate course lectures on robotic sacrocolpopexy which is similar to the surgery being discussed in this manuscript.