Timing of Midurethral Sling Placement During Robotic Surgery for Pelvic Organ Prolapse and Stress Urinary Incontinence

What this Trial Is About

Researchers are studying the best timing for placing a midurethral sling MUS, a small mesh used to treat stress urinary incontinence SUI, during robotic sacrocolpopexy RSC surgery. RSC is a procedure that helps fix pelvic organ prolapse, where organs like the bladder or uterus descend from their normal position. The study aims to compare placing the sling either before or after lifting and supporting the vaginal apex during surgery, focusing on patient symptoms and satisfaction. Participants will undergo robotic-assisted sacrocolpopexy along with retropubic midurethral sling placement. They will be randomly assigned to have the sling placed either before or after the vaginal suspension during surgery. Randomization occurs within four days before surgery, and patients will not know the timing of their sling placement during the operation. During the study, participants will be assessed before and after surgery through various measures including the Urinary Distress Index at three months, stress tests at six weeks, and questionnaires on pelvic organ prolapse and incontinence symptoms. Researchers will also monitor surgical details, complications, need for retreatment, and patient satisfaction. Follow-up visits and evaluations will occur at six weeks and three months after surgery to thoroughly evaluate outcomes.

Sequence of Midurethral Sling Placement During Robotic Sacrocolpopexy